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Need a little help with life stuff?

Need a little help with life stuff?

Our journey together starts here

Accessibility

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    Important Information

     

    This form is optional but completing it gives you the chance to tell me about you or your loved one's household support needs and will result in getting the help you need, more quickly. 


    If you would prefer to speak to me in person please call or text me on 07413 400 503 or email amy@sortmylife.co.uk and we can arrange a time to go through it together.

    There is no charge for my initial consulation. 🙂


    If you are happy to proceed with the form, please continue to the questions and submit. Once submitted, I will contact you within 24 hours (in line with your contact preferences) to arrange a short contract meeting.


    Any information you provide will be held in line with my Privacy Policy so please ensure that you read this before you continue.


    You can change your mind at any time.

     

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    If you proceed to register you will be asked to provide personal information about you or your loved one which will be held in line with my privacy policy. Didn't see it? Don't worry, just click back a step
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    (please tick all that apply)
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    Please take care not to reveal any private or personal information about anyone without consent and to only provide necessary information that will help me assess the care or support needs
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    * Direct payments are a way that local authorities can help to meet individual’s eligible need for care and support, or a carer’s need for support.

    They are a way for people to arrange their own care and support.

    Direct payments are suitable for a wide range of people who have been assessed as eligible for social care services, including:

    Adults of any age with an eligible care and support need
    Carers aged 16 or over who need support
    People with parental responsibility for a disabled child.

     

    Find out about Direct Payments here

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    This will be the person who will make decisions about the care that is required
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    carer/family member to complete
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    Individual to complete
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    Tick all that apply
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    Tick all that apply
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    This is so that I can add you to the Sort My Life Story community movement
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    This is the legal name of the person who is completing the form. (I use this for contracts, invoices, and records that require your legal identity.)
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    I'll use this name when communicating with you to make our interaction more personal and comfortable
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    This is the address at which the service will take place.
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    This is the address of the person who is responsible for payments or formal correspondence relating to the service.
    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
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    This is to receive a copy of your own submission and to receive official communication such as invoices, contracts etc
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    You don't have to answer this, but if there is any way I can make communication easier for you, please let me know.
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    Mobile or landline can be added here
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    I ask for this information to help me tailor my services to your needs and to better understand who is using Sort My Life so I can continue improving what I offer
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    This can include support from family members/ friends or any professional service provider
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    Tick as many as you like, there is no obligation, it would just be great to get to know your needs better
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    Tick all that apply
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    Tick all that apply. This will help me to suggest some suitable times/dates for our work together
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    Tell me anything you would like me to know
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    Tick all that apply
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    What Happens Next?

     Once you have submitted this form:

    1. You will receive a confirmation email including your application information (make sure you check your junk folder)
    2. I will be in touch on your preferred method of contact to arrange a free 30 minute in-person consultation 
    3. Following the consultation I will provide a contract for you to sign and this will be shared with you via your preferred method of communication.
    4. Once you are signed up, you will be on my books and able to book me easily going forward.

     

     Sorted! (now press submit) 👇

     

                                                                                       

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