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Charity No: 1146913
A professional HealthCare Provider specialising in the treatment of police officers

Application Form

Treatment is provided free-of-charge to officers who make the voluntary weekly donation to the charity.

Once fully completed, the Application Form should be sent by post directly to the Centre. Please ensure sufficient postage otherwise your form may be delayed by Royal Mail. You should complete as much of the form as possible before getting it signed by your GP, Consultant or FMO.

The clinical staff at Flint House assess each application form before allocating a date for treatment. 

Follow the link below for your application form and information on attending. The treatment programmes for both physiotherapy and mental health support are comprehensive. We are only able to provide treatment for either of these on one visit, not both. Therefore no dual applications should be submitted please.

Application Form Physiotherapy - Serving Officers

Application Form Physiotherapy - Retired Officers

Application Form Mental Health Support - Serving officers

In response to feedback where some GPs are charging patients to have their forms signed we have now produced a letter for you to give your doctor to use to accompany your application.

It is vital that all officers check with their force on the correct process for handling applications to attend Flint House. Each force will have its own individual procedures for processing an officer's attendance to the Centre that will need to be complied with. (please ensure you use ONLY this form for your application and that all pages are completed)