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Llys Eleanor

Shotton, CH5 1EH

Telephone: 0800 183 5757
Email: enquiries@clwydalyn.co.uk

Apply Online

Apply Online​

Make sure you Download the document and open it in Adobe or PDF reader for it to record all your information. Please ensure you have the most up to date Adobe or PDF Reader

 

Fill the application form out online, amend any mistakes or go through it with a family member by your side.

Don’t worry about signatures as we will need to visit you before you’re allocated to our Extra Care Scheme.

Once filled out, click the ‘Send Form’ button and we’ll receive this directly from your email address.

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