The information you share with us in this form will help us understand what support you or the person your are contacting us about may need. This means that we may need to share information with other Health and Social Care Professionals; so that we can work together to help provide support that best suits the needs of the individual. This may include sharing information with other organisations such as Hywel Dda Health Board and GP Practices.
The information will be handled in accordance with the Data Protection Act 1998 and kept secure at all times. For more information about the use of the information provided in this form, please visit our Data Protection pages.