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Arrange Telecare
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Apply for Telecare
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.
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Why is a Telecare service required?
Please select one of the options below
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*
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
Please specify planned discharge date
Who is completing this form?
We need to know who the Telecare Service is for
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*
I am applying for Telecare for myself
I am applying for Telecare for someone else
How did you find out about the Telecare Service?
HOW
*
Please choose one
Family / friends
Council website
Hospital staff
Local Health staff / GP
Home carer
Social work staff
Housing Staff
Other
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