PIP Consultation Request
All initial consultations are free, further consultation and support is on a pay what you can basis.

After you fill out this consultation request, I will contact you to go over details of timescale, costs and availability before the order is confirmed. If you would like further information on consultation times and pricing please contact us at wheeliequeer@gmail.com.
Are you a new or existing customer?
Clear selection
What stage are you at with your claim? *
Please select all statement(s) that apply. If none apply, select other.
Required
What help would you like with your PIP claim? *
Required
Do you have either Zoom or Google Meet? *
Do you have any access requirements? *
What access support do you need?
For example, captions or a BSL interpreter. If you do not have any access requirements, write "N/A"
Contact info
This is so we know how to contact you.
Your name *
E-mail *
Phone number, if preferred to email
You will only ever be texted or called, on prior agreement from both you and myself that this is most accessible for you.
Do you have a text relay phone?
Clear selection
Do you want text updates?
Clear selection
Preferred contact method *
This is how I will contact you, for example email, text, phone, videocall.
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