Sinclairs Solicitors - The Elderly and the Law, continuing NHS Care Questionnaire

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Offices: Windsor Chambers, 36 Windsor Terrace, Penarth, CF64 1AB
also at: 234 Cowbridge Road East, Canton, Cardiff, CF5 1GY and 173 Waterloo Road (off Coventry Road), Yardley, Birmingham, B25 8LH

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Continuing NHS Care Questionnaire >>

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Continuing NHS Care Questionnaire
Please complete all sections on the questionaire form below, and remember to include a contact telephone number and e-mail address for us to contact you. Thank you.
Name, address and tel. No. of person completing this questionnaire

Your contact email addresss

Name and date of birth of resident if completing on behalf of person in care home

Your relationship to the resident

Name & Address of Care Home

How long resident at the Care Home

Details of weekly / monthly fee and total paid to date
Weekly / monthly fee Total paid to date
Describe briefly the condition / needs / illness of resident

If in hospital before moved into care home, please state:
Nature of illness / condition

Name / address of hospital

How long in hospital, date admitted to date released

Name of Consultant

Was any assessment carried out as to the person’s needs

Date of the assessment and conclusion

DISCLAIMER:
The information contained in this web site is provided solely for information purposes only. It does not constitute legal or other professional advice. Sinclairs does not give any endorsement, warranty or representation, expressed or implied by statute collaterally or otherwise with regard to the products or services which are advised or promoted on this or any linked sites.

Sinclairs Solicitors accept no responsibility for loss or damage which may arise from errors or omissions of information contained in the web site or other site that may be linked to this site from time to time or for reliance on any such information. It is important that those who have access to the site and require help take proper legal advice by contacting the firm of Sinclairs so that we can properly advise on the information that you are able to provide us.

Contacting us:
If you wish to make enquiries to a department directly please use our 'Contact Form' or, alternatively use our global e-mail sinclairs@sinclairslaw.co.uk

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