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:

IMPORTANTDISCLAIMER OF LIABILITY - PLEASE READ

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.

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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.

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.

By clicking this "submit" button, you confirm that you have read and agree to the conditions and privacy policy listed above.

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

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