Parkinson's Oxford and DistrictParkinson's UK
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Respite Care Grant Application form

This online application form allows you to apply for a respite care grant from Oxford Branch of Parkinson’s UK. A copy of your application will be emailed to you for your records, and the application will be passed to our Scheme Coordinator.

You can find full details of how we handle and store your personal information here on the website of our national charity Parkinson’s UK.

To apply:

The person with Parkinson’s who will receive the care

By submitting this application form, I/we confirm that:


I/we acknowledge that:

Applicant and payment details

In this section, please provide information about the person who is making this application. You may be the person with Parkinson’s, or a supporter who is helping to arrange care. We need your email address to stay in contact, and your bank details so that we can make payments.

Nearly done!

You provided this email address:


Please check very carefully that it is correct. We cannot get in touch with you if it's wrong or missing! To fix any mistakes, please click here to go back and correct it.

Next, tick the “I’m not a robot” box below and finally press the "Submit this application" button that will appear when the check is complete.

Why do we need “I’m not a robot”?

This check proves that you are a human user rather than automatic software. It helps us to protect our website, and your data, from malicious activity.

In most cases you only need to tick the box and wait a few seconds, but occasionally the check may ask you to solve some simple visual puzzles.

This checking service, known as a reCAPTCHA, is provided by Google. The check is completely anonymous and we do not send any of your personal data to Google. You can learn more about reCAPTCHA here on Google's support site.

Some information is missing or incorrect. Please review the form.

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