Domiciliary Care Allowance Specialist’s Report (Dom Care 3)

This form is used to provide more details of your child’s condition and their specific care needs when applying for Domiciliary Care Allowance.

If your child is being treated by more than one specialist and you are submitting a report from each, please ensure you use a separate report form for each specialist.

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Domiciliary Care Allowance Specialist’s Report (Dom Care 3)

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