Online application form

Getting to know you

As a first step, we’d like you to fill in our online form so we can find the right group for you.  We’ll get back to you as soon as possible.

Completing for a friend or family member? Here's the right form to refer them to us.

If you’re a professional referrer than please see our information for referrers. You can also download a printable application form which you can give to an older person to fill in themselves and post back to us.

If you’d like any help with completing our online application form or if you have any questions, you can call our freephone number: 0800 716543. 

Contact us

We have teams across the UK and our national office is in London.

Address

Re-engage
2 Grosvenor Gardens
London
SW1W 0DH

Freephone:

0800 716543

Office phone:

020 7240 0630