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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 filled out, the Application Form should be sent directly to the Centre. You should complete as much of the form as possible before getting it signed by your GP, Consultant or FMO.

You must include three payslips covering a 12 month period, when you send your form to the Police Rehabilitation Centre, Flint House.

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.

Please note that we are fully booked for this type of support until May 2017

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)

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