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being able to get on or off a standard toilet, and.Tell us about whether you can use the toilet and manage incontinence. I Use page 8 of the Information Booklet to help answer these questions. do they physically help you take medication or manage treatments?.do th y su rvise you while you take your medication?.Tick the boxes that apply to you then provide more information in the Extra
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monitoring blood sugar level, changes in mental state and pain levels.Tell us about whether you can monitor changes in your health condition, take medication or manage any treatments carried out at home. I Use page 8 of the Information Booklet to help answer these questions This includes help you have and help you need but don't get. Tick the boxes that apply to you, then provide more information in the putting food and drink in your mouth, and.Tell us about whether you can eat and drink. Tick the boxes that apply to you, then provide more informati Safely cooking or heating food on a cooker hob or in a microwave oven Tell us about whether you can prepare a simple one course meal for one from fresh ingredients.įood preparation such as peeling, chopping or opening packagi g, a d I Use page 7 of the Information Booklet to help answer these questions. Tell us in the rest of this form how your health conditions or disabilities affect your day-to-day activities. Section 3 - How your health condition or disability affects your day-to-day life Q1 Tell us about the professional(s) best placed to advise s on how your health condition or d sab l ty affects youįor example, a GP, hospital doctor, spec alist nurse, community psychiatric nurse, occupational If we need additional information we may contact the h Please put your name and National Insurance number There is more information, including examples of what to send us in the Information Booklet we sent you with this form. Only send us photocopies of information you already have available to you. This should explain how your health condition or disability affects your daily life.ĭo send information that shows how your health condition or disability affects you carrying out day-to-day activities.ĭon’t send general information about your condition like fact sheets or information from the internet. – Return the form to us with photocopies of any additionalĪdditional information to support your claimĪs well as completing this form it is important that you help us to understand your needs by providing additional information. – Read and sign the declarati n n page 32. – Fill in this form (in pen) to tell us h If you don't want to ont nue w th your claim and w n’t be etu ning this form, please call us on 08 (08 if using a textphone). If you don't return this form to us and we don't hear from you to ask for more time to complete t, we ay end your claim to PIP. give you examples of other things you can tell us.
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