Request Help - Help My Street

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Request Help from Age UK North West Kent

If you need help from Age UK North West Kent, complete this form to let us know what you need. We'll give you a call back within two working days to let you know how we can help.

What do you need help with?

Meals To Your Door

Freshly prepared meals, delivered straight to your door

Prescriptions

Collecting prescriptions from a local pharmacy

Friendly Chat

A friendly chat on the phone

Other

Please tell us more below

Help description

Who is the help for?

I am requesting help for myself

I'm the person in need of help

On behalf of someone else

I'm looking for help for a relative, neighbour or friend

How often is the help needed?

Just once

Daily

Weekly

Fortnightly

Every 4 weeks

When is the help first needed?

As soon as possible

Within a week

Within 2 weeks

Within 30 days

On a specific date

How many times is the help needed? Please tell us for how long the help is needed (up to a maximum of ) times

By checking this box you agree to our Terms and that you have read our Privacy Policy. If you are submitting a request for help on behalf of someone else, you are also confirming that you have the help recipient’s consent to share their details and are happy for your information to be shared in relation to this request.

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