Ask for support with adult care and health

Use this form to request support from our adult social care services. 

This could include support to: 

  • find the right equipment or adaptations for your needs 
  • use technology to keep you safe and well 
  • manage your day-to-day care  

We’ll also suggest other local services that could help you. For example, those run by charities or community groups. 

Before you start 

If you’re completing this form for someone else, you must get their permission to share their information with us first.   

If someone’s life or safety is in danger right now, call 999 or go to your nearest A&E department.  

For urgent mental health support, call 111 or message 0303 330 1511 on WhatsApp to contact the South London NHS Mental Health Crisis Service.

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How we use your information

To find out how we use, store and protect the information you give us, read our data protection privacy notice.