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Care Query
  • If you're requesting care for someone else: what is your relation to the service user?:
  • When do you want care to start? (any Monday):
  • What days do you want care visits to take place? :
  • What times would you like your visits within?:
  • How long would you like the visits to be?:
  • Please tick what types of support you would like:
  • Are you happy to accept care from both females and males?:
  • How did you hear about us?:
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