Register for Support

Have you registered with The ClementJames Centre already?

  • Yes, I have completed an online registration form. Great! Click here to book an assessment.

  • No, I need to complete an online registration form. Please click "Next Page" below to complete the form.

Getting Support at The ClementJames Centre

Thank you for taking the time to fill out this referral form. If you need support filling out this form, please contact or give us a call on 020 7221 8810.

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Who We Can Support

If you do not fit our criteria but would like our help to find an organisation who can support you, please contact or give us a call on 020 7221 8810.
Please be aware that we can only support residents who live in or who are housed in Kensington & Chelsea for Advice Support, and Kensington & Chelsea, Hammersmith & Fulham or Westminster for Wellbeing and Employment Support.
We also have criteria that clients need to meet to access support. At least one of the following means that you are able to access support at the Centre.

Please select any of the following that apply to you:

Your Details

Your Emergency Contact's Details

In the event of an emergency, it is really helpful for us to have someone we can contact for you. This could be a partner, relative or friend, for example.

Your Language and Communication Needs

We ask the following questions in order to provide the best support for you throughout your time at The ClementJames Centre.

Submit Your Form

Please submit the form below. Once you have pressed submit you will be taken to a booking page to book your Welcome Meeting.