Join Us

Many of our services, such as our user forum, dementia cafes and support groups, are only open to our Members.  If you would like to join us at Silverline Memories, all you have to do is fill in the form below and we'll be in touch with more details.

And there's nothing to pay - Silverline Memories is funded entirely via sponsorship funding and donations.

 

Referral form

  • Section 1

    Information about the person you are referring
  • DD slash MM slash YYYY
  • Please include post code
  • e.g. vascular dementia, Alzheimer’s etc.
  • Section 2

    Information about the person making the referral (if you are self-referring please write n/a and go to section 3)
  • Please include post code
  • DD slash MM slash YYYY
  • Section 3

    Additional Information about the person named in Section 1
  • Such as Social Worker, Care Agency, etc.
  • Such as behaviours, symptoms, mood, emotional state, day-to-day life, family circumstances, etc. It can also be helpful to include information about their previous occupation, hobbies, interests, etc.
  • In an emergency who would this person like us to contact?

  • Finally...

  • This field is for validation purposes and should be left unchanged.

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Silverline Memories
The Dene Centre, Castle Farm Road,
Newcastle upon Tyne NE3 1PH