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Ecas

Friendly and practical help for people with a physical disability

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  • Activities
    • Art
    • Computing
    • Craft
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    • Reading and creative writing
    • Seated Tai Chi, meditation and relaxation
    • Swimming
    • Yoga
  • Befriending
    • Become a volunteer befriender
    • Befriending opportunities
    • Befriender’s role
    • About befriending
    • Facilitated friendships
    • Make a referral
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Befriending self-referral

Ecas will use the information supplied on this form, including information about the client’s health to assess their eligibility and to administer our client records. By submitting or returning this form, the client has consented to Ecas processing their data for those purposes.

Please ensure you have read the Referral Criteria before completing this form.

Download application form (Word document)

  • Personal details

  • Name * REQUIRED
  • Date Format: DD slash MM slash YYYY
  • Address * REQUIRED
  • Please let us know how best to get in touch with you
  • Details of disability

  • Please include description of any mobility aids used
  • Please give specific reference to any isolation issues
  • Do you have any disabled friends who you have lost touch with due to their mutual disability?
  • (please give details)
  • This field is for validation purposes and should be left unchanged.

 

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Befriending

  • Become a volunteer befriender
  • Befriending opportunities
  • Befriender’s role
  • About befriending
  • Facilitated friendships
  • Make a referral

Any questions?

No question is a stupid question. Head over to our Frequently Asked Questions and if you can’t find the answer give us a call or email and we’ll be happy to help.

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Get in touch with us and we can tell you more about Ecas.
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Copyright © 2018 Ecas. Ltd. Registered in Scotland No. 102790. Registered charity No. SC014929. Registered office: Norton Park, 57 Albion Road, Edinburgh EH7 5QY
Scottish Charity Regulator
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