Form: Contact our Community Link Workers

Our Community Link Workers help people with learning disabilities get the support they need.

They work with your GP to make sure you can access services and activities that improve your health and wellbeing.

If you or someone you look after has a learning disability, and is registered with a GP practice in Gosforth or Jesmond, use this form to get in touch.

Community Link Workers Support

Name of Patient(Required)

First Last

GP practice the patient is registered with(Required)

Patient Date of Birth(Required)

NHS Number

If known

Your Name

If you are not the patient

First Last

Contact phone number(Required)

Contact Email address(Required)

I confirm that I/the patient has learning disability?(Required)

Yes

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Comments

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