Request Support

Tell us about your situation and we'll get back to you to arrange an appointment.

Prefer to talk to us directly?

Call us on 07496 661 163 or email info@hfsca.co.uk. You don't have to use this form if you'd rather speak to someone.

This is a request, not a confirmed appointment

Submitting this form sends your request to our team. A member of staff will contact you by phone or email within a few working days to confirm your appointment date and time. Please do not treat your requested time as booked until we confirm it with you.

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Your Details

Full name (required) Enter your first and last name. Enter your first and last name.

Phone number (required) A UK number, e.g. 07123 456789 or 020 7123 4567. Enter a valid UK phone number.

Email address (required) Enter an email address in the correct format, like name@example.com.

Home address (required) Include your postcode, so we can confirm you're within Hammersmith & Fulham. Enter your home address, including a valid postcode.

Preferred language (required) Select your preferred language.

Please tell us your preferred language (required) Tell us what language you'd prefer.

What You Need Help With

Type of support needed (required) Select the type of support you need.

Tell us about your situation (required) Please briefly describe what's happening and what kind of help you're looking for. 0 / 20 characters minimum Tell us a little about your situation (at least 20 characters).

Preferred Appointment

This is only a preference — we will contact you to confirm the actual date and time.

Preferred date (required) Choose a preferred date that is today or later.

Preferred time of day (required) Select a preferred time of day.

How should we contact you to confirm? (required) Select how we should contact you to confirm.

I understand this is a request only and confirm the details above are correct.