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Carer Information

It’s important that everyone who works here at Kineton & Tysoe Surgeries 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 carers 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 Kineton & Tysoe Surgeries 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 Kineton & Tysoe Surgeries of the changes.

Fields marked with an asterisk (*) are mandatory