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Hartlepool Children’s Disability Register Application Form

If you have immediate concerns about someone please contact the Emergency Duty Team on 01642 130080.

Clear date input Open calendar
Gender
Are you happy to receive information on events and services relating to short break activities?
Would you like a max discount card?
How would you like to receive further information?
Communications
Does this child use
Does this child require
Educational Needs
Does this young person have an Education, Health and Care plan?
Disability Details
If the child does not have a diagnosis, please describe how their disability affects them
All information is sent directly to the Adult Social Care team at Hartlepool Council and will be treated in strictest confidence.