80 Castleton | Templepatrick | BT39 0AZ

The definition of a carer – those aged under 65 who are in receipt of a carer’s allowance, or those who are the main carer for an elderly or disabled person whose welfare may be at risk if the carer falls ill.

Please Note: This form will not grant access to your medical records for your carer. If you wish to grant a friend, relative or carer access to your medical records on your behalf please complete a consent form.

Registering as a Carer

Your Details

Please complete this form if you are caring for someone. Once you are added to our list of Carers we will know about your busy life as a Carer, which can affect your health. We can also try and be flexible with appointments etc.

Details of the person you are caring for

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