If you would like Quality Care to contact you, please either fill in this form then click on the "Please Contact Me" button. Alternatively you may email us, or or phone us on 01252 540585.

If you wish to discuss the needs of anyone who might benefit from our services, our co-ordinators will do their utmost to help you. If you'd like someone to visit you without any obligation or cost, we will be happy to do so.

I am interested in care for:

 

What sort of care is needed?
(you can tick more than one)
 Companionship
 Shopping and other errands
 Cleaning and/or cooking
 Personal care
 Supported living 		Main Problems:


Frailty
Confusion/Dementia
Physical disabilities
Learning difficulties
Mobility problems

What is the age group of the person needing care:

Child, Adult, Elderly.

The person needing care lives in or near:

 

Now please fill in your personal information here so we can get in contact with you:

Name:
Phone Daytime:
Evening:
Mobile:
E-mail Address:
Comments:

 

I would like to discuss my needs in person, please contact me to make an appointment.
I would like to discuss my needs on the phone, please call me.
Please send me further information about Quality Care.