CiB
 (* denotes mandatory fields)
Young Carers
Young carers are children or young people under 18 who care for a family member with a physical or learning disability, long-term illness, mental health condition or substance/alcohol misuse. We will acknowledge receipt of this form within 2 weeks. All referrals are assessed for eligibility for any Carers in Bedfordshire services. Young adult carers aged 18 - 25 need to complete a Carers in Bedfordshire adult registration form.
How we use your information - please advise the parent of the young carer 

Information collated by Carers in Bedfordshire will be stored securely in accordance with the Data Protection Act. We may be asked to share information we hold about you with the organisations who fund us (Bedford Borough Council, Central Bedfordshire Council and NHS Bedfordshire). 
About the young carer
Address
About the person who is cared for
Diagnosis category
 About the referrer
(Please complete this if you are an organisation referring a young carer. Parents do not need
to complete this section)
Other information


Thank You!
It looks like we already have your details - contact us if you want to update your records or are you need further support.Please contact us on contact@carersinbeds.org.uk  or call us on 0300 111 1919.
In order for Carers in Bedfordshire to support you, we need parental consent. To continue with our registration you must select Parent agrees to this. For further information please call us on 0300 111 1919.