You can only use this form to order items such as grabrails, handrails and banisters, which we will deliver and install in your house free of charge.
When you complete this form, you will need to confirm you
- have the permission of your landlord or housing association if the equipment needs to be installed
- will ask for an assessment if you are not sure which equipment is most suitable
- will not hold the Council or NHS Lothian liable for any damage.
If you are ordering the equipment on behalf of someone else, you will need to confirm you have their permission to do so. You will also need their name, address and date of birth.
If you need any help filling out this form, please contact us by phone 0131 529 6300.
Please note: This form will time out if you spend more than 15 minutes on a page.