Register a Carer

It is important that we know if you are a carer so that we can make sure you receive information, services and the help that is available. If you are a carer please complete this form.

Carer Identification and Referral Form

Carer Identification and Referral Form

Section 1: Carer's Details

Please use this date format: DD/MM/YYYY.

Section 2: Cared for person's details

Please use this date format: DD/MM/YYYY.

Section 3: Reason for referral

Section 4: Consent

We would like to pass your details onto your local adult or young carer support service, which provides information, advice and support to carers, including information about your rights, how you could access a break from your caring role, financial support, and support to access other services.
You will be contacted directly for further details about your caring role and the person you care for.
If you are aged 16 or over and caring for someone ages 18 or over, you have a right to a free statutory Carer's Assessment.
A Carer's Assessment is a chance to talk about your individual needs as a carer, and find out what help and support could be available to you from your Local Authority. It is usually carried out by Social Services, who can also look at the support needs of the person you care for an dhow they can help them.
You will be contacted directly for further details about your caring role and the person you care for.