Adult Social Care Self Assessment
This self assessment helps you identify the areas where you might be eligible for social care and support.
At the end of this form you have the option of making a referral and requesting a formal assessment.
You can complete the form for yourself, or on behalf of someone else.
What you will need
Before you begin you will need the following:
- A valid email address if you wish to be sent a copy of your self assessment
- If you are completing this form on behalf of someone else you will need to know their personal details, for example their address and contact number
If you do not understand a question or are concerned that the form does not address your needs please call 01752 668000.
Please answer all questions honestly.
After your needs have been assessed you will be asked to be complete a financial assessment. During the assessment, we will look at your finances, in detail, and work out the exact costs of your future care and how this will be paid for. Find out more by using our Cost of Care Indicator and Financial Assessment.
Finally, you or the person that may need social care support must live in Plymouth. If you do not live in Plymouth please contact your local council which is likely to be either Devon County Council, Cornwall County Council, South Hams District Council or West Devon Borough Council.