Milton Keynes Council Laundry Service - Referral Form

Please complete this form to refer yourself or someone else to the Council's Laundry Service. For information about this service please see Laundry Service

Details of person completing this form (self/referrer)

e.g. family/care worker/health staff

Person details - if not a self-referral

More details about the person/request for help

This is the Council's Social Care Records System number

Enter in DD/MM/YYYY format

The person requiring help must be at least 18 years old

This can be long term or short term due to illness

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