I am self-isolating

Privacy Notice for self-isolation

This form is to assess your request for assistance during your self-isolation period.  You can request a priority online supermarket booking slot and request assistance with shopping including pharmacy collections.

The personal data you supply to us will be securely protected. Only the limited necessary information will be passed to our community partners and we have secure data protection arrangements in place with them. We have protocols in place to ensure that whatever support route is offered your data is handled in confidence and will not be held for longer than necessary to provide the support you need and will be kept in accordance with GDPR and the Data Protection Act 2018.

You can find out more by visiting our Covid 19 Privacy Notice on our web site.

Please select next below to continue.