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Parent Carer Cheshire East Referral Form
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Are you filling in this form for:
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Yourself - please click the "Next" button below to complete Section 2 - Carer Details
Someone else - please complete this section with your details
Name
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Your Email
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Your organisation
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Your telephone number
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Please check the box to confirm the following. I have explained the data sharing protocol from Making Carers Count to the carer who has agreed that I can share information to refer them for additional support.
I confirm the above
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