Interactive Forms & Information

This webpage has been designed for those completing and forwarding a variety of forms regarding KPS Trebullom such as; Bookings & Referrals, Volunteer and Therapeutic Services applications.

There are a number of questionnaires and forms listed on the adjacent button links that are created in either 'Word' or 'PDF Acrobat' formats that can be completed via your PC and sent to KPS as an attachment via email. Alternatively, you can complete them on your PC or with a pen, print them and send via the post.

Please Note: Some PDF Reader Software may not allow you to fill in the form and save. Alternatively use the Word Document 'Word' Format. Please contact us if you have problems.

You can download PDF or Word Forms by clicking on the buttons adjacent. The forms are explained below:

Questionnaire - A questionnaire about what is important regarding KPS Trebullom which will be used for statistics and feedback.

Enquiry - An enquiry form on specific information you or your organisation are interested in.

Referral Form - A Referral Assessment and booking form to be completed when a agency is referring a client to KPS Trebullom. The form also gives us important information during a guest's short-term respite or retreat stay to ensure their safety.

Booking Form - A Self-referral Booking Form is to be completed when wishing to visit KPS Trebullom. for a short-term respite, retreat or bed & breakfast stay.

Adaptation Form - This form gives us vital important information on a guest's needs who have limited mobility. Our en-suite low level access shower rooms and toiets can be adapted to suit the person staying with us.

Volunteering - A Volunteer application form for all those wishing to volunteer for Kernow Positive Support.

Therapeutic - A Therapeutic Services application form for all those wishing to offer their professional services within Kernow Positive Support. Once we have received your application we will negotiate rates per hour and expenses for either individual or group sessions.:

KPS Trebullom is planning to open in Mid March 2011 - Please check with us prior to arranging any bookings.

You can return to the KPS Trebullom or main KPS webpages by clicking here or the KPS Trebullom link