Cabinet infirmier Belledonne

Request home nursing care

The full form: what we need to know before calling you back, and nothing else. Your answers stay on this device until you send them.

Life-threatening emergency: call 15 (or 112). Do not wait for our call back.

Step 1/3Where, and when

Your town tells us whether we can come; the slot stays a preference, confirmed by phone.

Town

Pick a suggestion: we immediately check the address is inside our area. Only the town is sent to the practice.

Preferred start date

Preferred time of day

The slot is held for 24 hours, then confirmed by phone. It is not a firm appointment yet.

How to reply

Access to the home (optional)

Step 2/3What this is about

Tick the care involved. No diagnosis is requested.

Care requested(required)

Tick what applies. No diagnosis is requested.

Other care — please specify

I have a prescriptionWithout a prescription we will guide you: most care requires one.

Frequency needed

Your request

Describe the situation in your own words. Please leave out precise medical details: we will discuss them by phone.

Step 3/3Your details

Enough to call you back — nothing more.

Full name(required)

Phone(required)

This is how we call you back.

Email (optional)

Trusted contact (optional)

Complementary insurance (optional)

I agree that this information is sent to the practice to handle my request. Privacy

What we understood

This panel fills in as you type.

Nothing is stored on this website: this information goes to the practice and nowhere else.

What happens next

A prescription is required: Most home nursing care is delivered on prescription. Without one, we point you back to your GP.
The slot is held, not confirmed: Your chosen slot is reserved for 24 hours. We call to confirm it; without confirmation it is released.
Direct billing: Prescribed care is covered by French statutory health insurance; the remainder depends on your complementary insurer.