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Request Services

Please follow the form below and we will be able to come straight back with costs and potential options tailored to you

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Services you are enquiring about(Required)

Home Care Services

Protect Lifeline

New Stairlift

You can select more than one.

Type of home care services

Visiting care (hourly)

Live-in Care

Overnight care

Other

How many minutes are needed for each visit?

Upto 30 minutes

Upto 1 Hour

Upto 2 hours

More than 2 hours

Other

Type of care services needed

Companionship and Domestic Tasks

Personal Care

Moving and Handling

Medication Support

Will this be a long term package of care or short term?

Ongoing care package

Fixed Term

Other

How is the service to be funded?

Private

Local Authority

Local Authority Direct Payment

NHS

Other

Stairlift Type

Brand new - Never been used before

Second Hand - Approved Used

Short-term Hire

Other

What type of Stairs best describes yours

Straight flight of stairs

Stairs that goes round a corner

Other

Installation and Set up

Standard Digital Set up (£50)

Add on a Key Safe (£30)

Add on Key Safe Installation (£30)

All our installation and maintenance of equipment is handled in house and local to Nottinghamshire and Derbyshire.

Type of digital service

Lifeline with 24/7 monitoring (protect)

Add in-home sensors and family app (prevent)

Protect starts from £29.99 per month dependent on options selected below. To add prevent will set the price start from £49.99 per month.

Do you intend to use the digital service alongside our care services?

Yes

Other

Use of our digital service without care services will add £4.99 per month to the price.

Will you be able to add a named and local responder to any call outs

Yes

Other

If there is not our active care services or family member then it may be not possible to use a lifeline with Premier.

Would you pay annually or quarterly in advance?

Annual

Quarterly

Quarterly payment in advance adds £3.99 per month

Payment method

Postal Direct Debit

Email Direct Debit

Over the phone (Annual plan only)

Payment must be arranged before lifeline is installed

How soon do you need the service?

DD dash MM dash YYYY

We can work to an approximate date or if you need it ASAP then add today's date and we will do everything we can to accomodate.

Start date extra information

Let us know of any barriers to the start date.

Location of service(Required)

Full Post Code

Your Name

First name

Your connection to the client

I am the potential client

Spouse

Mother or Father

Close relation

Friend or Neighbour

Other

Phone(Required)

Contact Email

Best time to call back?

We will usually contact you between 09:00 and 17:00 on a working day. If you have requested a different time we will try to accommodate that.

Any other information for our team

Call us

01623 810 100

Find us

Premier Community
Lancaster House
Concorde Way
Mansfield
NG19 7DW

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