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Who can complete this form?
You can complete this form for yourself or on behalf of someone else i.e. if you are a carer, relative, friend or professional. If you are completing this form on behalf of somebody else remember when we say ‘you’ we are referring to the person you are completing the form for.

Do you need help completing this form?
If you have difficulty understanding the assessment process you are entitled to have an independent advocate to help you. Go to Advocacy for all website to find out more about advocacy.


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Use of your personal data
The London Borough of Bromley may use your personal data without your specific consent to provide you with one or more council services, and to comply with the council’s statutory and legal obligations. Information about how the council uses and protects personal data and about personal data rights is available at