Apply for Telecare

Fair Processing Notice
To find out how we will process and use personal information in connection with this request please see our Privacy Statements.
Please note that there are delays with the installation of some devices due to supply issues. Emergency referrals are currently being prioritised until stock levels return to normal.
Label
1. Why is a Telecare service required?
2. Please select one of the options below
3. Label*
  
  Due to a fall within the last year
  
  For safety and reassurance within the home
  
  To maintain independence
  
  Carer Support
  
  To assist a return home from hospital
4. Please specify planned discharge date
5. Who is completing this form?
6. We need to know who the Telecare Service is for
7. Label*
  
  I am applying for Telecare for myself
  
  I am applying for Telecare for someone else
8. How did you find out about the Telecare Service?
9. HOW*

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Council Services

Why is a Telecare service required?