Nicholl Street Medical Centre

Carers

Are you looking after or providing support for a relative friend or neighbour? Are you being helped or supported by a relative friend or neighbour?

Your GP needs to know so you can be offered the right information, support and access to services.

If the person you are caring for is registered at a different practice, please also inform their surgery so that their medical records are up-to-date.

Please complete the form below and email photo ID for both parties to enquiries.w98020@wales.nhs.uk. Requests will not be processed without this information.

About you

Your title(Required)

Your name(Required)
Your date of birth(Required)
Your email address(Required)

Details of person being cared for

Title of the person you are caring for(Required)

Name of the person you are caring for(Required)
Date of birth of the person you are caring for(Required)
Please tell us if you are related, a friend or other connection.
Is the person you care for a patient at this surgery?(Required)
Not for urgent medical help(Required)

There is more information about help with day-to-day living because of illness or disability on the NHS website.

Date published: 25th March, 2020
Date last updated: 25th March, 2024