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Liverpool privacy notice

Please complete the Merseycare Bathing Referral

Please include as much information as you can.

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Merseycare Bathing Referral Form

If you are completing this form on behalf of someone else, please provide information about this person
Before creating an account or logging in to that account, please confirm:
Does the individual you are completing this form for / about have capacity to make decisions about their care? * This field is required
Has the individual given their consent for you to make contact with adult social care?
Who is to be contacted to discuss this Bathing Referral? * This field is required
What is the persons preferred method of communication?
In order to progress with this form you must either log in or complete a simple registration for a new account. You can then continue to complete this form. This will enable you to track the form at a later date.
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