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We welcome enquiries directly from potential recipients, as well as family, friends, carers, Social Services, Opticians, or anyone else who may benefit from, or knows someone who may benefit from our service.

If you are enquiring for yourself, please fill in the form on the registration page and we will contact you.

If you know someone who might benefit from our service and would like more information please contact us and we will be more than happy to answer any questions.

Usually, it is then easiest if you can then ask the intended recipient to complete our registration form or to telephone us, with your help if necessary. However, we appreciate that isn’t always possible, and in those cases we would ask that you fill in the form below:

    About You

    For data protection, please confirm that you have spoken to the person you are referring and that they have consented to your passing us their data

    About the person you are referring

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