Online forms: MIDCARE application
This form has a maximum of 9 pages
- select 'Begin this form' (below). You don't need to sign in, as long as you complete each page in less than 10 minutes.
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This request is for anyone who is older and/or disabled, who lives in Midlothian and looking for MIDCARE equipment to help with living at home.
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, Friday 09:00-15:30)
- 0800 731 6969 out of office hours.