For free advice
Simply complete our quick, free and confidential survey tofind out if you’re eligible for free funding.
Name of person needing care*
Who will be receiving the funding?
Evidence of challenging behaviour
Evidence of impairment, confusion or disorientation
Psychological and emotional needs
Ability to communicate
Mobility assistance required
Support with eating and drinking
Continence care required
Dependency of medication/drug therapies
Evidence of altered states of consciousness
Is the Recipient in hospital at present?
Cost of care to date (if appropriate)
Average monthly costs
Any further information which may be relevant?
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