Contact

Contacts for Remap York are:

Chairman : John Walker 01904 762513

ANYONE CAN ASK US FOR HELP, FOR THEMSELVES, A RELATIVE OR A FRIEND.

To request help in and around York, please click Email us or phone Sue Marshall 01904 781504

Alternative contact :  Mike Leadbeater 01904 491371

Alternative contact :  Martin Whillock 01347 821849

If you have difficulty leaving a message or no one returns your call then please try any of the 4 numbers listed above, thanks.

Occuptional Therapists or other health care professionals are invited to use the Form below  :

OTs please read : The REMAP panel in York will be happy to help find a solution for any problem your client may have that cannot be solved by a commercially available aid or adaptation. As a prescriber, you are responsible for advising of any risk to a volunteer from visiting a client’s household. The REMAP panel member will contact you to arrange a joint first visit when the problem can be explained and the solution discussed. Please arrange at this meeting whether further visits from a Panel Member should be accompanied. All our volunteers are experienced people who are fully aware of safety issues and will advise of any possible risks or hazards arising from the use of the device, but it is essential that you assess any completed device and approve that it matches your prescription. Equipment and adaptations made by REMAP are usually custom made medical devices and will be treated as coming within the Medical Devices Directive (1998) unless specifically indicated otherwise. They have to be prescribed by a healthcare professional to ensure that they are suited to the client’s needs and will not worsen any medical condition or disability. Each item produced is for the exclusive use of the named client.

Please sign the form to confirm the client has been advised of their Data Protection Act rights and verbally agrees that York Remap may store their details, noted by the Panel Member, for an appropriate length of time.

We look forward to receiving your request and hope that we can be of help.  

Please copy the form below, complete it as an MS Word document and send it to us as

a .pdf or .jpg    Please do not send Word documents, which can be altered.

REMAP YORK APPLICATION FORM

Date………………………

Referrer……………………………………………………………………..

Job Title…………………………………………………………………….

Work base…………………………………………………………………..

Post code…………………………    Telephone no…………………..

Email address…………………………

Client’s first and family names………………………..…………………

Client’s gender ……………….

Client’s address location : area of York, suburb, town or village ……….…………………………

Client’s post code ……………………………………..

Client’s phone number (Essential)………………………………

Age Group (please underline)    0-18      19-65    Over 65      Actual age …………..

Problem Experienced (Add further lines as needed)………………………………………………………

Referrer’s suggested Solution …………………………………………………………………………………………….

Any other comments, include inherent risk assessment, communication issues etc.…………..

Referrer’s name and date …………………………………………………………………

(For REMAP record keeping – Case number ………………………………)