Register with Carers Bucks

If you are caring for a family member, friend or neighbour who is unable to manage without you then you are a carer. All unpaid carers living in Buckinghamshire are eligible for support from Carers Bucks. If you are not registered with us please complete the form below and press submit to send it to us. Once received we will add your details to our database and one of our Carer Support Workers will contact you to discuss your caring role. Please note that information held by Carers Bucks is treated confidentially and in compliance with the Data Protection Act.

Carer Registration Form

First Name*

Last Name*

House Name/No.*

Street*

Town/City*

Postcode*

Telephone*

Best time to call

Email*

Your Caring Role

Who do you care for? (mother, father, husband, etc)

What is their illness/disability? Please tick box(es)

Elderly

Dementia

Mental Illness

Physical Disability

Learning Disability

Other

Is there any specific information or advice you need?

Further info request

Submit

Reset

Top of Page