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Social Services Case Manager's Enquiries

 

Either fill in this form and click on the "Submit" button at the bottom of this page, email us on enquiries@quality-care.co.uk or ring us on 01252 540585

I am interested in care services in the following area(s):
 Aldershot
 Ash
 Bagshot
 Berkshire
 Bracknell
 Camberly
 Farnborough
 Farnham
 Fleet
 Frimley
 Yately
Other:

Age of the client:  child,  adult,  elderly.

The client will need visit(s) per day.

Visit 1 will take about and should be between

Visit 2 will take about and should be between

Visit 3 will take about and should be between

Visit 4 will take about and should be between

Care should start on the .

Main Problems:
Frailty
Confusion/Dementia
Physical disabilities
Learning difficulties
Mobility problems
Other:

Contact information about Case Manager:

Case manager's name:
Phone daytime:
email address:
Case reference:

Space for additional comments:

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