Request a place on the Dynamic Support Register


About this form

You can use the form below to request a place on the Dynamic Support Register.

You should email the completed form to STyneComplexCaseFacilitators@cntw.nhs.uk.


Publishing information

Published: October 2023


Documents

Word: DSR request form (Word doc, 72 KB)

Word: DSR request form (easy read version) (Word doc, 2 MB)

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If you need help to access this information within this file, please get in touch by contacting:

Phone: 0191 424 6730

Email: sendlocaloffer@southtyneside.gov.uk