Online forms: Adults and older people social care services

This form has a maximum of 7 pages

Either:

  • select 'Begin this form' (below). You don't need to sign in, as long as you complete each page in less than 10 minutes.
  • or register and sign in with myaccount. If you are signed in, the form will save and you can finish it later. Your contact details will be already filled in.

This enquiry is for adults (over 16 years) only, who live in Midlothian and who find it difficult to look after themselves.

You can complete this form:

  • for yourself
  • on behalf of someone else (with their consent)
  • on behalf of someone else (without consent if you have concerns about their wellbeing).

If your request is urgent then please call us:

  • 0131 271 3900 during office hours (Monday - Thursday 9:00-17:00 and Friday 09:00-15:30)
  • 0800 731 6969 out of office hours