Hedley's Horizons Sign Up - Adult Horizons

Hedley's Horizons

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What activities does the individual enjoy?(Required)

What are their hobbies and interests? What goals would they like to work towards?

Is the person independently mobile, or require mobility aids?(Required)

Independently Mobile

Requires Mobility Equipment

Does the person require any of the following:(Required)

Wheelchair

Walking Aid

Hoist

Specialist Seating

Oxygen

Other equipment

What level of support is required throughout the day?(Required)

Are there any behavioural support needs?(Required)

How many days of support are being requested?(Required)

Preferred days/times of attendance(Required)