Contact Us Befriending ServiceEverybody gets lonely sometimes, some more than others.We recognise during Covid-19 you may need more support than ever. Open to all people aged 65 and over.A short half hour chat with a friendly voice, might just brighten up your day!A chance to talk about your favourite soaps, hobbies, interests or just day to day chit chat. Full Name* Street Address* Street Address City Post Code County AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo (Brazzaville)Costa RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country Phone* Email* Interests/Hobbies/Likes* CONSENT TO STORE YOUR INFORMATION:At Dementia Support we take your privacy seriously and will only collect information that is relevant to your care or to services you have requested from us. Any information we collect from you will only be used to provide the services requested and will not be disclosed to any third party without your prior permission unless we are required to do so by law. By giving information you accept that we may retain this information for the care and support of the person named above. We will ask your consent before using your information for purposes other than pertaining to the delivery of our services. Your information may need to be shared where Dementia Support has concerns for the safety and welfare of the above-named person/s. Please be aware that if you do not want us to hold your information this may restrict your support at Sage House Further information can be found within our privacy policy at www.dementia-support.org.uk Dementia Support want to keep you up to date with newsletters/activities/events. *I want more infoSubmitReset
