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Carer Information

We understand the vital role that carers play in our community, and at Richmond Surgery, we are committed to providing you with the assistance and support you deserve. It is crucial for us to be aware of your caregiving responsibilities so that we can offer the appropriate help. 

Whether you care for a friend or a family member who relies on your assistance and is unable to manage without you, we encourage you to register with us. This registration is open to all unpaid carers, including those under the age of 18. 

To ensure we can extend the necessary support, we kindly request that you take a moment to complete the form below if you are a carer. Your input will enable us to provide you with the assistance and resources required to fulfil your caregiving role effectively.

Tell us about yourself

 
 
 
 
 
 
 

Details of Person being cared for

 
 
 
 
Age of the person you care for?  
 
Are you in receipt of carer’s allowance? *  
Are there any other carers in the household?  
 

Further details on Carer Support can be found here.

Please specify

By submitting this form, you are giving consent for the Richmond Surgery to keep a record of your contact details on the cared for person’s medical records.

Please be aware that should any of the above details change, it is your responsibility to notify the Richmond Surgery of the changes.

Fields marked with an asterisk (*) are mandatory