Register for Lifeline

Register your interest in Lifeline by completing the details below and a Support Officer will be in contact with you to discuss it further.

We need your contact details as well

Please provide your complete full name and not just your initials.

Personal details of the user

Please provide your complete full name and not just your initials.
Lifeline units only work where the applicant has a telephone line

Thank you for registering your interest in Lifeline. We will get in touch with you to arrange a visit from our community officers, and they will be able to talk through with you what care package will be most suitable for you.