Use this form to request the uplift of medical equipment. This could be because:

• you no longer need the equipment
• the equipment is faulty

We will need:

• your name
• your address
• your contact details
• the reason you need the medical equipment uplifted

We will call you within 10 working days to arrange a suitable date and time for collection.

You can find out how we manage the personal information you provide by reading our privacy notice.