Request support with care online

  1. How we can help

    Complete the form below and one of our trained Adult Social Care Advisers from the Let's Talk team will be in touch with you soon.

    They will listen to what really matters to you and assist you to connect with support to enable you to get on with your life independently.

    To read about what support is available, see support and care.

    Emergencies

    If it's an emergency, please phone us immediately on:

    0191 424 6000

    Mon to Thurs 8.30am to 5pm, Fri 8.30am to 4.30pm.

    0191 456 2093

    Evenings, weekends and bank holidays.

  2. Referrer details
    1. Are you completing this form for yourself? *
    2. Your relationship
      1. Are you caring for this person?
      2. Do they know they are being referred?
  3. Your details
    1. Name
  4. Your address
  5. About your needs
  6. Getting in touch
    1. When would be the best time(s) for an Adult Social Care Adviser to call you? *
  7. Your details
    1. Name
  8. Your address
  9. Data protection
    1. Confidentiality

      The information you provide will be held securely and confidentially by South Tyneside Council. To enable us to support you we may need to discuss your circumstances with other professionals. You would be asked before this happens. We are happy to discuss any worries you may have.

      For more information on information security go to Privacy Notices

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