Measles cases are continuing to rise across the country, so please check you are fully vaccinated and, if not, call the practice to book an appointment for your vaccination. Also, if you are presenting with a rash and temperature DO NOT COME INTO THE PRACTICE but please call and speak to our reception team for advice.

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Carer Information

It’s important that everyone who works here at Farnham Dene 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 carer’s 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 Farnham Dene Medical Practice 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 Farnham Dene Medical Practice of the changes.

Fields marked with an asterisk (*) are mandatory