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Nomination form

Nominee

Title / Name of team of nominated

Address

Telephone number

Email

Are you nominating yourself?  yes no

If NO, please give your details below

Nominator

Name

Address

Telephone number

Email

Statement

Please upload your statement with reasons for your nomination. Please note that only .doc, .docx and .txt files under 2MB will be accepted.

Membership

You are very welcome to browse the website, and take advantage of the information and expertise we offer. However, to benefit fully from opportunities to share and network, you may want to join us as a member.

Membership is free, and open to anyone who is interested in promoting excellent palliative and end of life care for people with learning disabilities.

Our members are mostly professionals, but also include some (family) carers, and some people with learning disabilities.

How to join

The PCPLD Network is a professional association of Help the Hospices

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This website is funded and supported by Mencap

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