find support

find support

Join Equal Care Co-op to find a mix of professional and voluntary care and support. We are in our pilot year at the moment so it may take a few days for you to hear back from us.
Type your notes here! This box will not be sent to the person.
I'm looking for... *

Support for myself Support for someone else
Your Name *

First Name Last Name
Your preferred name *
How should we call you?
Email *
example@example.com
Phone number
The best number to catch you on.
What's your full address? *
Note that if you don't live in or close to the Calder Valley in Calderdale we are unlikely to be able to connect you with support. If you live somewhere in Calderdale it's still worth getting in touch with us but if you are out of the area it's better to just complete our contact form and we'll get in touch when we're nearby.
What's your date of birth?

Day Month Year
Date
Their Name *

First Name Last Name
Their preferred name *
How would they like us to call them?
Where do they live? *
Note that if they don't live in or close to the Calder Valley in Calderdale we are unlikely to be able to connect them with support. If they live somewhere in Calderdale it's still worth getting in touch with us but if they are out of the area it's better to just complete our contact form and we'll get in touch when we're nearby.
Will the support happen entirely or mostly at this address?

Yes No
Where will the support take place? *
What's their date of birth?

Day Month Year
Date
And which areas of support are you looking for a hand with?

Help to manage household tasks Mindfulness and wellbeing Creative and personal expression Mobility, getting around, getting out and about Dealing with the care and support system Community connection and activities Peer support (from someone who's experienced similar challenges) Help using technology (e.g. messages and keeping in touch) Care and support co-ordination and/or life admin Personal care with dignity Clinical / medical tasks Listening, feeling heard Friendship and social life
Please tell us whatever you would like to share about your situation and circumstances.
Please can you include rough details of when you are looking for support and how many hours. We'll ask you for more information later when we meet so no need for an essay :-)
We can contact you using email, text, messaging apps and phonecall. Please can you let us know your favourite way to get in touch with you.
And finally, we need your consent to contact you and confirmation of understanding. *

I am 18 years old or above and I give my consent for you to get in touch with me for the purpose of getting paid and/or voluntary care and support through Equal Care Co-op for myself or someone else.
Call taken by
Supportive Conversation arranged?

Yes, we've arranged one No, we're going to have another phonecall No, they know about us now and ball's in their court
Phonecall arranged with
Supportive conversation arranged with
When is the Supportive Conversation happening?

Day Month Year
This is so we can include this in the confirmation email. Hour Minutes AM/PM Option
Where is it happening?
Is this person eligible? What is the next step? *

Yes, send them an email to go on to the Supportive Conversation, which we've booked together over the phone. Yes, but I was on the phone to someone arranging support on their behalf. Send the person I spoke with an email confirming what we agreed (supportive conversation, further phonecall or waiting for them to get back in touch). Yes, they're local but we either don't yet have capacity or we need to recruit for specialist skills (they won't get an email). Yes, but they don't want to book a Supportive Conversation just yet or cannot confirm a set date and time. I've given them my contact details and they will get in touch with me / we'll email offline to arrange a date (they won't get an email). No, send them an email that confirms they consent for us to keep their records and let them know when we're in a position to support them. No, save the info but don't send them an email.
Reply Email for facilitators
example@example.com
Don't forget to scroll back up to the top and change the caller's Preferred Name! This is why you can't see the 'Submit' button.
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