We are sending 11D3 research text messages which looks into stomach bugs.  These are a genuine texts and the link is genuine.  Thank you for helping us with our research.

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Carer Information

It’s important that everyone who works here at The Charlbury Medical Centre knows you are a carer so that we can offer you help and support if you need it. Anyone who looks after a friend or family member who cannot manage without them, and is unpaid, can register. This includes carers under the age of 18.

If you are a carer, please complete this form below.

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 The Charlbury Medical Centre 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 The Charlbury Medical Centre of the changes.

Fields marked with an asterisk (*) are mandatory