Gedling Health Forms webform

Funded by Gedling Borough Council, we provide support to complete benefit health forms.

This service is available to people who live within the Gedling Borough Council area.

If you complete this webform and you do not meet this criterion, you will be directed to another method of accessing advice from Citizens Advice Nottingham.

First name (required)

Last name (required)

Address

Postcode

Your email address

Phone number

By providing a telephone number, you consent to us calling you.

I give consent to receive the following:

Which benefit do you need help with?

Which stage do you need help with?

Please provide any relevant dates or deadlines. For example, the date your form needs to be returned by, or the date on your decision letter.

Would you prefer a face to face or telephone appointment?

By submitting your enquiry you are confirming that you
• Need help with completing a health form
• Live within Gedling Borough Council area
• Consent to us recording and retaining the details you provide in this form.