Important Data Protection Notice: Once completed, this assessment form will be used only for the purpose of matching a carer with a client of United Irish Healthcare.

If you have any questions, please contact:

United Irish Healthcare Data Protection   
Contact: data@uih.ie

By completing and submitting this assessment, you are confirming that you have the consent of the person described in this assessment who needs care to submit their information on their behalf and that you have their permission to provide this information to United Irish Healthcare for the purposes of sourcing a suitable carer for them. If you are the submitting this assessment on your own behalf, you agree for United Irish Healthcare to use the information you have provided for the purposes of sourcing a suitable carer for you.