Admiral Nurse Dementia Helpline enquiry form

To request a call or an email from an Admiral Nurse, please fill in the form below.

If you are booking an appointment on behalf of a carer or a person living with dementia, please make sure they are happy for you to share their details, or, if they are not able to make the decision themselves, that you’re doing what’s right for them. Accepting our terms and conditions confirms you understand this.

If you’d prefer to phone a dementia specialist Admiral Nurse directly, you can call us for free on 0800 888 6678.

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To help us provide you with accurate information, we would be grateful if you could complete as much of this form as possible. We'll then be able to recommend specific services where appropriate in your area. It will also help us identify areas where we should be working with local services to develop Admiral Nurse Teams.
Your details
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Title
Name*
First name Last name
Phone
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Email*

Your address
Address*
Your town and postcode will help us identify if you have an Admiral Nursing service covering your area.

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Your enquiry
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Your privacy

Dementia UK are committed to respecting your privacy and protecting your personal data. Any personal data provided here will only be used for the purposes of contacting you to provide you with the help and support you are requesting from our Helpline. You can read our privacy notice here.

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