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Consultation Form
Upon completing this form, an associate will contact you within 3 days. If you require assistance with completing the following information, please call us on 01634 907 019
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1
Please select which option best describes you
*
This field is required.
Person Requiring Care
Family Member, Relative or Authorised person
Local Authority
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2
What type of care is required
*
This field is required.
Personal Care
Domestic Care (cleaning)
Socialisation
Shopping
Medication
Meal Preparation
Life Skills Development
Home Companionship
Complex Care
Palliative Care
Live-In
Other - Not Listed / Unsure
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3
How soon is the care required
*
This field is required.
1-7 days
2-4 weeks
1 month +
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4
Do you know how many hours of weekly care are required
*
This field is required.
YES
NO
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5
Weekly Hours Required
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6
Brief Summary of care needs
Please provide details of any diagnosis, routines and what you would like to achieve as a result of contacting us.
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7
Full Name
*
This field is required.
Name of the person requiring care
Mr
Mrs
Miss
Ms
Dr
Sir
Lord
Lady
Mr
Mr
Mrs
Miss
Ms
Dr
Sir
Lord
Lady
Prefix
First Name
Last Name
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8
Address
*
This field is required.
Address of person requiring care
Street Address
Street Address Line 2
City
County
Post Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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9
Gender
*
This field is required.
Gender of the person requiring care
Male
Female
Transgender
Prefer not to say
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10
Date of Birth
*
This field is required.
Date of Birth of the person requiring care
-
Note: Android users please select year in upper left corner
Day
Month
Year
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11
Phone Number
*
This field is required.
Your phone number
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12
Email
Please enter your email or correspondents email if representative
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13
Does the person have the mental capacity to make decisions in relation to their health and welfare?
*
This field is required.
If you are unsure, please select "Yes" to presume capacity under Mental Capacity Act 2005
YES
NO
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14
Does the person have an authorised representative
*
This field is required.
An Authorised representative will be a person that holds lasting power of attorney or deputyship
YES
NO
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15
Please select your local authority
This is the area where you/person requiring care lives and will be your local council
Adur and Worthing Borough Council
Adur District Council
Allerdale Borough Council
Amber Valley Borough Council
Arun District Council
Ashfield District Council
Ashford Borough Council
Aylesbury Vale District Council
Babergh District Council
Barnsley Metropolitan Borough Council
Barrow-in-Furness Borough Council
Basildon Borough Council
Basingstoke and Deane Borough Council
Bassetlaw District Council
Bath and North East Somerset Council
Bedford Borough Council
Birmingham City Council
Blaby District Council
Blackburn with Darwen Borough Council
Blackpool Borough Council
Blaenau Gwent County Borough Council
Bolsover District Council
Bolton Metropolitan Borough Council
Borough of Broxbourne
Borough of Poole
Boston Borough Council
Bournemouth Borough Council
Bracknell Forest Council
Bradford Metropolitan District Council
Braintree District Council
Breckland District Council
Brentwood Borough Council
Bridgend County Borough Council
Brighton and Hove City Council
Bristol City Council
Broadland District Council
Bromsgrove District Council
Broxtowe Borough Council
Buckinghamshire County Council
Burnley Borough Council
Bury Metropolitan Borough Council
Caerphilly County Borough Council
Calderdale Metropolitan Borough Council
Cambridge City Council
Cambridgeshire County Council
Cannock Chase District Council
Canterbury City Council
Cardiff Council
Carlisle City Council
Carmarthenshire County Council
Castle Point Borough Council
Central Bedfordshire Council
Ceredigion County Council
Charnwood Borough Council
Chelmsford City Council
Cheltenham Borough Council
Cherwell District Council
Cheshire East Council (Unitary)
Cheshire West and Chester Council
Chesterfield Borough Council
Chichester District Council
Chiltern District Council
Chorley Council
Christchurch Borough Council
City of Lincoln Council
City of London
City of York Council
Colchester Borough Council
Conwy County Borough Council
Copeland Borough Council
Corby Borough Council
Cornwall Council (Unitary)
Cotswold District Council
Coventry City Council
Craven District Council
Crawley Borough Council
Cumbria County Council
Dacorum Council
Darlington Borough Council
Dartford Borough Council
Daventry District Council
Denbighshire County Council
Derby City Council
Derbyshire County Council
Derbyshire Dales District Council
Devon County Council
Doncaster Metropolitan Borough Council
Dorset County Council
Dover District Council
Dudley Metropolitan Borough Council
Durham County Council
East Cambridgeshire District Council
East Devon District Council
East Dorset District Council
East Hampshire District Council
East Hertfordshire District Council
East Lindsey District Council
East Northamptonshire Council
East Riding of Yorkshire Council
East Staffordshire Borough Council
East Sussex County Council
Eastbourne Borough Council
Eastleigh Borough Council
Eden District Council
Elmbridge Borough Council
Epping Forest District Council
Epsom and Ewell Borough Council
Erewash Borough Council
Essex County Council
Exeter City Council
Fareham Borough Council
Fenland District Council
Flintshire County Council
Forest Heath District Council
Forest of Dean District Council
Fylde Borough Council
Gateshead Metropolitan Borough Council
Gedling Borough Council
Gloucester City Council
Gloucestershire County Council
Gosport Borough Council
Gravesham Borough Council
Great Yarmouth Borough Council
Guildford Borough Council
Gwynedd County Council
Halton Borough Council
Hambleton District Council
Hampshire County Council
Harborough District Council
Harlow Council
Harrogate Borough Council
Hart District Council
Hartlepool Borough Council
Hastings Borough Council
Havant Borough Council
Herefordshire Council
Hertfordshire County Council
Hertsmere Borough Council
High Peak Borough Council
Hinckley and Bosworth Borough Council
Horsham District Council
Huntingdonshire District Council
Hyndburn Borough Council
Ipswich Borough Council
Isle of Anglesey County Council
Isle of Wight Council
Isles of Scilly
Kent County Council
Kettering Borough Council
King's Lynn and West Norfolk Borough Council
Kingston-upon-Hull City Council
Kirklees Council
Knowsley Metropolitan Borough Council
Lancashire County Council
Lancaster City Council
Leeds City Council
Leicester City Council
Leicestershire County Council
Lewes District Council
Lichfield District Council
Lincolnshire County Council
Liverpool City Council
London Borough of Barking and Dagenham
London Borough of Barnet
London Borough of Bexley
London Borough of Brent
London Borough of Bromley
London Borough of Camden
London Borough of Croydon
London Borough of Ealing
London Borough of Enfield
London Borough of Hackney
London Borough of Hammersmith & Fulham
London Borough of Haringey
London Borough of Harrow
London Borough of Havering
London Borough of Hillingdon
London Borough of Hounslow
London Borough of Islington
London Borough of Lambeth
London Borough of Lewisham
London Borough of Merton
London Borough of Newham
London Borough of Redbridge
London Borough of Richmond upon Thames
London Borough of Southwark
London Borough of Sutton
London Borough of Tower Hamlets
London Borough of Waltham Forest
London Borough of Wandsworth
Luton Borough Council
Maidstone Borough Council
Maldon District Council
Malvern Hills District Council
Manchester City Council
Mansfield District Council
Medway Council
Melton Borough Council
Mendip District Council
Merthyr Tydfil County Borough Council
Mid Devon District Council
Mid Suffolk District Council
Mid Sussex District Council
Middlesbrough Borough Council
Milton Keynes
Mole Valley District Council
Monmouthshire County Council
Neath Port Talbot County Borough Council
New Forest District Council
Newark and Sherwood District Council
Newcastle-Under-Lyme District Council
Newport City Council
Newcastle-upon-Tyne City Council
Norfolk County Council
North Devon Council
North Dorset District Council
North East Derbyshire District Council
North East Lincolnshire Council
North Hertfordshire District Council
North Kesteven District Council
North Lincolnshire Council
North Norfolk District Council
North Somerset Council
North Tyneside Metropolitan Borough Council
North Warwickshire Borough Council
North West Leicestershire District Council
North Yorkshire County Council
Northampton Borough Council
Northamptonshire County Council
Northumberland Council
Norwich City Council
Nottingham City Council
Nottinghamshire County Council
Nuneaton and Bedworth Borough Council
Oadby and Wigston District Council
Oldham Metropolitan Borough Council
Oxford City Council
Oxfordshire County Council
Pembrokeshire County Council
Pendle Borough Council
Perth and Kinross Council
Peterborough City Council
Plymouth City Council
Portsmouth City Council
Powys County Council
Preston City Council
Purbeck District Council
Reading Borough Council
Redcar and Cleveland Council
Redditch Borough Council
Reigate & Banstead Borough Council
Rhondda Cynon Taf County Borough Council
Ribble Valley Borough Council
Richmondshire District Council
Rochdale Metropolitan Borough Council
Rochford District Council
Rossendale Borough Council
Rother District Council
Rotherham Metropolitan Borough Council
Royal Borough of Greenwich
Royal Borough of Kensington and Chelsea
Royal Borough of Kingston upon Thames
Royal Borough of Windsor and Maidenhead
Rugby Borough Council
Runnymede Borough Council
Rushcliffe Borough Council
Rushmoor Borough Council
Rutland County Council
Ryedale District Council
Salford City Council
Sandwell Metropolitan Borough Council
Scarborough Borough Council
Sedgemoor District Council
Sefton Metropolitan Borough Council
Selby District Council
Sevenoaks District Council
Sheffield City Council
Shepway District Council
Shropshire Council - Unitary
Slough Borough Council
Solihull Metropolitan Borough Council
Somerset County Council
South Buckinghamshire District Council
South Cambridgeshire District Council
South Derbyshire District Council
South Gloucestershire Council
South Hams District Council
South Holland District Council
South Kesteven District Council
South Lakeland District Council
South Norfolk District Council
South Northamptonshire Council
South Oxfordshire District Council
South Ribble Borough Council
South Somerset District Council
South Staffordshire Council
South Tyneside Council
Southampton City Council
Southend-on-Sea Borough Council
Spelthorne Borough Council
St Albans City and District Council
St Edmundsbury Borough Council
St Helens Metropolitan Borough Council
Stafford Borough Council
Staffordshire County Council
Staffordshire Moorlands District Council
Stevenage Borough Council
Stockport Metropolitan Borough Council
Stockton-on-Tees Borough Council
Stoke-on-Trent City Council
Strabane District Council
Stratford-on-Avon District Council
Stroud District Council
Suffolk Coastal District Council
Suffolk County Council
Sunderland City Council
Surrey County Council
Surrey Heath Borough Council
Swale Borough Council
Swansea City and Borough Council
Swindon Borough Council
Tameside Metropolitan Borough Council
Tamworth Borough Council
Tandridge District Council
Taunton Deane Borough Council
Teignbridge District Council
Telford & Wrekin Council
Tendring District Council
Test Valley Borough Council
Tewkesbury Borough Council
Thanet District Council
Three Rivers District Council
Thurrock Council
Tonbridge and Malling Borough Council
Torbay Council
Torfaen County Borough Council
Torridge District Council
Trafford Metropolitan Borough Council
Tunbridge Wells Borough Council
Uttlesford District Council
Vale of Glamorgan Council
Vale of White Horse District Council
Wakefield Metropolitan District Council
Walsall Metropolitan Borough Council
Warrington Borough Council
Warwick District Council
Warwickshire County Council
Watford Borough Council
Waveney District Council
Waverley Borough Council
Wealden District Council
Wellingborough Borough Council
Welwyn Hatfield Council
West Berkshire Council
West Devon Borough Council
West Dorset District Council
West Lancashire Borough Council
West Lindsey District Council
West Oxfordshire District Council
West Somerset District Council
West Sussex County Council
Westminster City Council
Weymouth and Portland Borough Council
Wigan Metropolitan Borough Council
Wiltshire Council
Winchester City Council
Wirral Council
Woking Borough Council
Wokingham Borough Council
Wolverhampton City Council
Worcester City Council
Worcestershire County Council
Wrexham County Borough Council
Wychavon District Council
Wycombe District Council
Wyre Council
Wyre Forest District Council
Adur and Worthing Borough Council
Adur District Council
Allerdale Borough Council
Amber Valley Borough Council
Arun District Council
Ashfield District Council
Ashford Borough Council
Aylesbury Vale District Council
Babergh District Council
Barnsley Metropolitan Borough Council
Barrow-in-Furness Borough Council
Basildon Borough Council
Basingstoke and Deane Borough Council
Bassetlaw District Council
Bath and North East Somerset Council
Bedford Borough Council
Birmingham City Council
Blaby District Council
Blackburn with Darwen Borough Council
Blackpool Borough Council
Blaenau Gwent County Borough Council
Bolsover District Council
Bolton Metropolitan Borough Council
Borough of Broxbourne
Borough of Poole
Boston Borough Council
Bournemouth Borough Council
Bracknell Forest Council
Bradford Metropolitan District Council
Braintree District Council
Breckland District Council
Brentwood Borough Council
Bridgend County Borough Council
Brighton and Hove City Council
Bristol City Council
Broadland District Council
Bromsgrove District Council
Broxtowe Borough Council
Buckinghamshire County Council
Burnley Borough Council
Bury Metropolitan Borough Council
Caerphilly County Borough Council
Calderdale Metropolitan Borough Council
Cambridge City Council
Cambridgeshire County Council
Cannock Chase District Council
Canterbury City Council
Cardiff Council
Carlisle City Council
Carmarthenshire County Council
Castle Point Borough Council
Central Bedfordshire Council
Ceredigion County Council
Charnwood Borough Council
Chelmsford City Council
Cheltenham Borough Council
Cherwell District Council
Cheshire East Council (Unitary)
Cheshire West and Chester Council
Chesterfield Borough Council
Chichester District Council
Chiltern District Council
Chorley Council
Christchurch Borough Council
City of Lincoln Council
City of London
City of York Council
Colchester Borough Council
Conwy County Borough Council
Copeland Borough Council
Corby Borough Council
Cornwall Council (Unitary)
Cotswold District Council
Coventry City Council
Craven District Council
Crawley Borough Council
Cumbria County Council
Dacorum Council
Darlington Borough Council
Dartford Borough Council
Daventry District Council
Denbighshire County Council
Derby City Council
Derbyshire County Council
Derbyshire Dales District Council
Devon County Council
Doncaster Metropolitan Borough Council
Dorset County Council
Dover District Council
Dudley Metropolitan Borough Council
Durham County Council
East Cambridgeshire District Council
East Devon District Council
East Dorset District Council
East Hampshire District Council
East Hertfordshire District Council
East Lindsey District Council
East Northamptonshire Council
East Riding of Yorkshire Council
East Staffordshire Borough Council
East Sussex County Council
Eastbourne Borough Council
Eastleigh Borough Council
Eden District Council
Elmbridge Borough Council
Epping Forest District Council
Epsom and Ewell Borough Council
Erewash Borough Council
Essex County Council
Exeter City Council
Fareham Borough Council
Fenland District Council
Flintshire County Council
Forest Heath District Council
Forest of Dean District Council
Fylde Borough Council
Gateshead Metropolitan Borough Council
Gedling Borough Council
Gloucester City Council
Gloucestershire County Council
Gosport Borough Council
Gravesham Borough Council
Great Yarmouth Borough Council
Guildford Borough Council
Gwynedd County Council
Halton Borough Council
Hambleton District Council
Hampshire County Council
Harborough District Council
Harlow Council
Harrogate Borough Council
Hart District Council
Hartlepool Borough Council
Hastings Borough Council
Havant Borough Council
Herefordshire Council
Hertfordshire County Council
Hertsmere Borough Council
High Peak Borough Council
Hinckley and Bosworth Borough Council
Horsham District Council
Huntingdonshire District Council
Hyndburn Borough Council
Ipswich Borough Council
Isle of Anglesey County Council
Isle of Wight Council
Isles of Scilly
Kent County Council
Kettering Borough Council
King's Lynn and West Norfolk Borough Council
Kingston-upon-Hull City Council
Kirklees Council
Knowsley Metropolitan Borough Council
Lancashire County Council
Lancaster City Council
Leeds City Council
Leicester City Council
Leicestershire County Council
Lewes District Council
Lichfield District Council
Lincolnshire County Council
Liverpool City Council
London Borough of Barking and Dagenham
London Borough of Barnet
London Borough of Bexley
London Borough of Brent
London Borough of Bromley
London Borough of Camden
London Borough of Croydon
London Borough of Ealing
London Borough of Enfield
London Borough of Hackney
London Borough of Hammersmith & Fulham
London Borough of Haringey
London Borough of Harrow
London Borough of Havering
London Borough of Hillingdon
London Borough of Hounslow
London Borough of Islington
London Borough of Lambeth
London Borough of Lewisham
London Borough of Merton
London Borough of Newham
London Borough of Redbridge
London Borough of Richmond upon Thames
London Borough of Southwark
London Borough of Sutton
London Borough of Tower Hamlets
London Borough of Waltham Forest
London Borough of Wandsworth
Luton Borough Council
Maidstone Borough Council
Maldon District Council
Malvern Hills District Council
Manchester City Council
Mansfield District Council
Medway Council
Melton Borough Council
Mendip District Council
Merthyr Tydfil County Borough Council
Mid Devon District Council
Mid Suffolk District Council
Mid Sussex District Council
Middlesbrough Borough Council
Milton Keynes
Mole Valley District Council
Monmouthshire County Council
Neath Port Talbot County Borough Council
New Forest District Council
Newark and Sherwood District Council
Newcastle-Under-Lyme District Council
Newport City Council
Newcastle-upon-Tyne City Council
Norfolk County Council
North Devon Council
North Dorset District Council
North East Derbyshire District Council
North East Lincolnshire Council
North Hertfordshire District Council
North Kesteven District Council
North Lincolnshire Council
North Norfolk District Council
North Somerset Council
North Tyneside Metropolitan Borough Council
North Warwickshire Borough Council
North West Leicestershire District Council
North Yorkshire County Council
Northampton Borough Council
Northamptonshire County Council
Northumberland Council
Norwich City Council
Nottingham City Council
Nottinghamshire County Council
Nuneaton and Bedworth Borough Council
Oadby and Wigston District Council
Oldham Metropolitan Borough Council
Oxford City Council
Oxfordshire County Council
Pembrokeshire County Council
Pendle Borough Council
Perth and Kinross Council
Peterborough City Council
Plymouth City Council
Portsmouth City Council
Powys County Council
Preston City Council
Purbeck District Council
Reading Borough Council
Redcar and Cleveland Council
Redditch Borough Council
Reigate & Banstead Borough Council
Rhondda Cynon Taf County Borough Council
Ribble Valley Borough Council
Richmondshire District Council
Rochdale Metropolitan Borough Council
Rochford District Council
Rossendale Borough Council
Rother District Council
Rotherham Metropolitan Borough Council
Royal Borough of Greenwich
Royal Borough of Kensington and Chelsea
Royal Borough of Kingston upon Thames
Royal Borough of Windsor and Maidenhead
Rugby Borough Council
Runnymede Borough Council
Rushcliffe Borough Council
Rushmoor Borough Council
Rutland County Council
Ryedale District Council
Salford City Council
Sandwell Metropolitan Borough Council
Scarborough Borough Council
Sedgemoor District Council
Sefton Metropolitan Borough Council
Selby District Council
Sevenoaks District Council
Sheffield City Council
Shepway District Council
Shropshire Council - Unitary
Slough Borough Council
Solihull Metropolitan Borough Council
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Deputy for health & welfare
Power of Attorney
Local Authority - Social Services Referral
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