If you would like to apply for help please complete the application form below and send to Mr Rob Phillips, Hon Treasurer, Chesthelp, 18 Stourwood Road, Bournemouth BH6 3QP.
Please complete the form as fully as possible.
Ensure that your Doctor or Specialist Nurse knows you are applying for our help.
Chesthelp is registered under the Data Protection Act 1988 and we will only discuss information essential to your application for assistance with your healthcare professional. Information received by us is confidential and restricted to our committee. We do not share information with outside agencies other than your health professional.
We reserve the right to withdraw assistance at any time, either because your circumstances have changed or due to our lack of funds.