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Home
About Us
About Us
Our Team
Success Stories
Care Quality Commission
Services
Service Outline
Day-to-Day Support
Local Support
Help to Manage your Funding
iCareBuddy
Our Charges
Personal Budgets/Direct Payments
Personal Budgets & Direct Payments
Personal Health Budgets
Benefits of a Personal Budget & Direct Payments
Self Funders
Find services and activities in your area
Direct Payments to Continuing Health Care
Integrating Health & Social Care
Choose your own PAs
Choosing a Personal Assistant
Helping you recruit
Training your Personal Assistants
Benefits for your Personal Assistants
Who Works With Us
Local Authorities
Clinical Commissioning Groups
Case Managers
Solicitors
Working in partnership with us
Easy Read
About HomeCareDirect
Independent Living
Jobs
Personal Assistant Vacancies
Head Office Vacancies
Community Nurses – Employed
Policies
Gender Pay Reporting Policy and Procedure
News
Coronavirus Updates
Guidance on PPE in Social Care – Jul 21
Coronavirus Vaccine Information
Coronavirus Testing Information
Latest Coronavirus Information – Please Read!
MCA & DOLs – Covid Update
Download New Workforce App
Hand Sanitiser Safety Notice
Useful Documents to Download
Positive Client Updates
Contact
Head Office Extension Numbers
Tell us about you
Self Referral
If you’d like to find out how the HomeCareDirect service can benefit you, please give us a call on 0345 061 9000 or fill in our referral form below and we will contact you.
All information received by HomeCareDirect regarding our clients and their staff is confidential and only those people who need to know the information will have access to it, in line with data protection legislation, GDPR and our policies on confidentiality, record keeping and information sharing.
Name;
*
How would you like to be addressed;
*
Date of Birth;
Address;
*
Telephone Number;
*
Email Address;
Next of Kin;
Relationship to You;
Their Address (if different from yours);
Their Telephone Number;
Social Worker/Care Manager/Other Professional contact details;
Do you have an advocate who helps you? If so please provide details below
Your current circumstances and support/service you would like from HCD;
Aims/outcomes of support/service you’d like from HCD;
Medical information/history;
Do you require documents and correspondence in a different format (easy read, braille, different language)? If so please let us know and we will arrange this for you
What hours of support would you like each week and when would you like these (e.g. 28 hours a week, 4 hours a day from 11am to 3pm, 7 days a week);
Do you already have funding available for you care at home? If so how much? And from whom? (e.g. local council, direct payment, NHS);
If not would you like HCD to support you with gaining funding for your care at home?
Are there any historical or existing Safeguarding issues?
*
Yes
No
If yes please give details;
Any other useful information;
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