Would you like your son or daughter to join us at My Place Dorset?

Please fill out the form below and we’ll be in touch!

We are also available on the telephone, if you wish to have a chat about our day service with either of us - Michelle: 07920428039 or Clare: 07866853085

Your name

First Name

Last Name

Your email address

Your contact number

What is your young adult's name?

How old is your young adult?

Please tell us a little bit about your young adult and the care they require