Need Our Help?

If you, or someone you know, have a disability and you would like our help, then fill in the online form or download and print a form and post it to our secretary. 



Should a suitable device be available commercially then, unfortunately, it is not considered a Remap job, this includes a modification to homes where a regular tradesman could provide the service.   We are not permitted to compete with commercial suppliers, nor should we.

Note on internet security: If you are concerned about sending details by our https secure on-line form then as an alternative, please download the PDF version & post it the address is on the form.

Please DO NOT put multiple requests on one application as each problem requires a different job reference.   
If necessary use two submissions.   Thanks


 https://www.emailmeform.com/builder/form/HyOfecw7bC Click this button to submit online now using a https (padlocked) secure website


 
 https://www.dropbox.com/s/ixh6yq3z53e1ix0/F11%20Referral%20ver%2010.pdf?dl=0 Or download a pdf referral form for you to post. 
The address is on the form.