Need Help?

If you, or someone you know, is providing an unpaid caring role to someone who lives in Westminster, and would like to meet with a member of staff from Carers Network Westminster, please complete the referral form below.

Please note Carers Network Westminster may not be able to meet your every need, but we will always endeavour to help you find an organisation that can assist you further.

If you are a professional wanting to refer a client, please go to the 'professionals' section.

Your details (carer)

* This information is compulsory
You may care for more than one person, we can get this information when we talk to you.

Carer's name:*
Carer's telephone:*
Carer's address:*
Please provide the postcode of the main person you look after if it is different to your own postcode above.
Postcode:
What is your preferred method for communicating? Postal Telephone Email Email:
Please choose which of the following best applies to the main person you look after?* Physical Disability / Sensory Need Mental Health issues Learning Disability Drug and Alcohol misuse Dementia Long term or progressive illness
Age of the main person you look after* Under 18 18 - 65 Over 65
You will be contacted within a week. We will take some further information and offer you an appointment to meet with a Carer Support Worker.

In the mean time, would you like us to post you an information pack? Yes No

Please tick any issues that concern you: Help with lifting / moving or other physical aspects of caring Equipment and adaptations Information on getting a break from caring Help with paying for a holiday Planning a holiday for someone with special needs Help that Social Services can provide and how to get it The cost of care and eligibility for help Individual Budgets and Direct Payments Carers Allowance Carer's rights in the workplace Getting involved and having your say Young carers Carers Parking Scheme Training for carers Planning for emergencies Other (please list)

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