Application Form

WHEN YOU MEET US FOR A CHAT YOU WILL NEED TO PROVIDE A RECENT LETTER FROM A PROFESSIONAL (IE CARE MANAGER, SUPPORT WORKER OR GP) CONFIRMING YOUR DIAGNOSIS, PHOTOGRAPHIC ID AND PROOF OF RESIDENCE.


  • Accepted file types: jpg, jpeg, gif, png, heic.
    maximum file size 10mb
  • If you have a special offer put in in here
  • This field is for validation purposes and should be left unchanged.