Registration Form

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Any fields marked with an asterisk * are mandatory. You will not be able to submit your registration unless these fields are completed.

Consent Information

By completing this registration, the person named below has agreed to Devon Carers holding their information for the purpose of supporting them in their caring role and that they provide unpaid care to a family member or friend who is ill, frail, disabled, has a mental health issue or substance misuse problem.

Registration Information

Carer Details & Contact Information

Your GP Surgery

Please select your GP Practice from the list below. If you can’t find your surgery use the ‘GP Surgery – Unknown’ option. If you live out of the Devon County Council area and your GP Practice is not on the list, please select ‘GP Surgery – Out of County’

Devon Carers Magazine

The person I care for

The conditions listed below are definitions taken from the Office for National Statistics website. Please select the option that most accurately describes the main condition of the person you primarily care for.
Key:
MH = Mental Health
Dev = Development
Neu = Neurological
Phy = Physical
Sen = Sensory

Equality & Diversity Monitoring

These questions will help us check that we have reached a representative section of society and help us to identify inequalities. Those who are in the minority groups may experience isolation, ‘invisibility’ and exclusion and this is particularly true of carers. It is therefore important we take notice of their experience and needs.

You do not have to provide this information, or you may choose to provide only some. Any information you do provide will help us to plan services for all carers.

Thank you for registering with Devon Carers. If you requested that we contact you to discuss support, we will be in touch soon.
If you feel your referral is urgent, please refer to our contacts page https://devoncarers.org.uk/contact/ for more information on how to get in touch.