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 with the Information Commissioner’s Office. We will only discuss sensitive information essential to your application for assistance with your healthcare professional and social worker. Strict levels of confidentiality are maintained
We reserve the right to withdraw assistance at any time, either because your circumstances have changed or due to our lack of funds.