Coronavirus support request Your circumstances Have you received a letter advising you are clinically extremely vulnerable to coronavirus? Required Yes No Have you already registered via https://www.gov.uk/coronavirus-shielding-support. This is a requirement if you have a medical condition which means you’re classed as being clinically extremely vulnerable to coronavirus and require support. You can register to: get access to priority supermarket deliveries ask for someone to contact you about any local support that’s available update your details - for example, your address You can register yourself, or on behalf of someone else. If you’ve already got priority supermarket deliveries, you’ll keep them. I have registered as above Required Yes No You must register for the support you need via https://www.gov.uk/coronavirus-shielding-support Do any of the following apply? Required Already receiving support from adult social care Someone in the household is already receiving support from children’s social care (Birmingham's Children Trust) None of the above Do you have someone who is able to help you? Required Yes No
