Application Forms

Please select the form below to complete

*Equipment applications only* The application process has changed, please use the form to apply for wheelchairs, beds, buggies and car seats only. You will need a professional supporting letter to prevent your application being withdrawn. If you have any questions, please see our FAQs or call our Nurse Helpline.

Newlife provides specialist equipment up to the value of £10,000 for disabled and terminally ill children across the UK.