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a second form will be required if you are looking for care for more than one person.
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Please list all non prescription medicines
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Live In Care, Respite Care, Post Hospital Care, Emergency Care, Overnight Care, Companionship, Palliative Care
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Tell us what you would like in a Carer (Whilst some Carers are non-smokers, we cannot guarentee this & those who do smoke will do discreetly & outside)
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Our Carers will help you with meals, personal care, give you comfort, safety & security, daily activities, making & attending appointments with you, diary liason, shopping, paying bills on your behalf, trips out & helping you to lead your life.
What extras would you like?
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What time do you get up, what type of activites do you like doing, what are your preferences for the day & what time do you like to retire at night?
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Emergency Contact Information
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