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MS Society self-referral form

Funded by the Nottingham Branch of the MS Society, we provide a benefits advice service to clients with MS and their immediate carers, providing information, advice and support to enable individuals to claim all benefits they are entitled to. For non-benefits related advice, we can signpost and refer clients either internally or to other agencies.

This service is available to people who have Multiple Sclerosis or their carers who reside in the Nottingham MS Society branch area which includes South Nottinghamshire and Long Eaton. If you complete this webform and you do not meet this criteria, you will be directed to another method of accessing advice from Citizens Advice Nottingham.

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

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

    By submitting your enquiry you are confirming that you
    • Have Multiple Sclerosis or care for someone with Multiple Sclerosis
    • Live in the South Nottinghamshire or Long Eaton area
    • Consent to us recording and retaining the details you provide in this form.