Welcome to the dedicated website about Live-in Nursing and Care for
Health and Social Care Professionals

Not a provider of primary, community or residential care? Please go to www.consultuscare.com

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• Live-in Services
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  • For Care Homes
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  • 'Live-in' Q & A
• Job Applicants
  • Live-in Work
  • Enquiry Form
• More
  • CSCI
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  • 45th Anniversary
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• Contact Us
  • Contacts & Directions
  • Client Enquiry Form
  • Job Enquiry Form

Health & Social Care Professionals Enquiry Form

If you would like our brochure or a call back during office hours please complete and submit this form or call Consultus Live-in Nursing Service (CLINS) on (01732) 770403/771924. Please click here if you are a Private Individual seeking care for yourself or a family member.

Title * (Mr., Miss., etc.)
First Name
Surname *
Job Title
Organisation Name
Organisation Type	-- please choose -- GP Practice District Nurse Continuing Care Team PCT/Health Board PBC Social Services NHS Hospital Independent Hospital Private Therapist/Rehab Hospice Medical Charity Advice Service Legal Services Financial Services Care Home Nursing/Dom. Agency Other
Address 1 *
Address 2
Address 3
Town *
County *
Postcode
Daytime Tel.
Mobile/Other Tel.
Email Address *
How did you first hear about Consultus?	-- please choose -- Colleague Referral Client/Service user Internet Search Link from another site Leaflet/Postcard TV/Radio National newspaper Local newspaper Trade magazine Consumer magazine Used you previously Other (please specify)
Please be specific, e.g. name of magazine or TV programme
Please help us to prioritise your request. When is the earliest that nursing or care may be needed?	Within 1 week Within 1 month At a later date (not urgent)
When would it be convenient to contact you?
We have a number of different brochures. How many of each would you like?	Full info for health/care organisations
	Full info for privately funded individuals
	Selection pack of small pamphlets & postcards for display
Briefly describe your needs or add any notes, queries or requests here:
You can attach a care plan or other discussion document - Use the "Browse" button on the right and navigate to the document on your computer.
Please note - After submitting this form it may take a while for an attached document to upload to our server. Only submit this form once.