It is important that we know if you are a carer so that we can make sure you receive information, services and the help that is available.

If you are a Carer, please submit the following details below to our email address hiowicb-hsi.stokewoodsurgery@nhs.net ...

What is your relationship to the person you are caring for?
Is the person you care for registered to Stokewood Surgery?

Details of the Carer:
. Your Full Name
. Date of Birth
. Contact Details: phone number/email address

Details of the person being cared for:
. Full Name
. Date of Birth
. Address