Carers’ Support Wiltshire

All information provided on these forms is confidential.  We will not pass your details to Social Services or Carers Support North Wilts if you do not give your consent.

In completing either form, you are consenting to an entry being made in your medical records to show that you are a Carer or receive help and support from a Carer. You may withdraw this consent at any time and request that this entry is removed.

Please note that we are unable to discuss your health needs, medication or treatment with your Carer unless you have given your consent by completing the appropriate form.

If you would like further information, or would prefer to contact Carers Support Wiltshire direct, please see the contact details below.

Carers Support Wiltshire

Independent Living Centre

St George’s Rd

Semington

Trowbridge

Wiltshire

BA14 6JQ

Tel :  0800 181 4118

E-mail:  info@csww.co.uk

Website: www.carersinwiltshire.co.uk/