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Initial care assessment

If you or someone you know need help with daily living, this initial care assessment will help us to determine whether a full assessment of your needs is required.

We will ask a series of questions relating to the Care Act, which will cover whether the person can manage their personal care, nutrition, medication and more.

We will process the information you submit in accordance with our privacy notice.
About you
1. If you need to complete this review on behalf of yourself you will need to start the application process again. You can do this by visiting Gateshead.gov.uk/ASCAssessment
2. Who are you completing this assessment for?*
  
  For myself
  
  For someone else
3. Has the person you are completing this form for asked you to help?
  
  Yes
  
  No
4. Do you believe the person you are helping is unable to ask for care and support themselves?
  
  Yes
  
  No
  For example, they have an illness, disability or a mental health problem.
5. Are you submitting this form as a professional?
  
  Yes
  
  No
  For example are you a doctor, nurse, health care provider or commissioned provider.
6. What organisation / department do you work for?
7. Is there a current risk assessment
  
  Yes
  
  No
  You can upload your risk assesment later in this form
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