To register with us, simply complete the below form. Alternatively, you can download and return the attached form via email to or via post to 19a Lowthian Road, Hartlepool, TS24 8BH.

If you have any queries please call 01429 283095.

e.g 01 January 2020
Hartlepool Carers need your permission to hold and process the data supplied on this form. Be assured, we will have regard to prevailing data protection principles and we have a Data Protection Policy and a Data Protection and Freedom of Information Processing Procedure, which we encourage you to review on our website. Please tick "Yes" or "No" to all of the following statements (N.B. "No" may mean we cannot support you)
e.g. 01 January 2020