Give me a quote

Hilton is always looking to develop new services. Please complete the quotation form below if you are interested in purchasing a service from us. We accept referrals direct from those wanting a service (e.g. those with an individual budget / direct payment), their families or advocates, via officers from the Local Authority (e.g. Social Work Teams or Commissioning Teams), and NHS professionals. We would welcome the opportunity to provide you with a quote.

Please complete the from below for a quote.

Name of the person completing the form*
In what capacity do you know the Tenant / Service User?
Your contact number*
Your email address*
Name of the Service*
Location of the Service
Number of Tenants*
Proposed start date
Date Format: DD slash MM slash YYYY
Type of funding*
Number of shared core day support hours per week
Number of shared flexi hours per week
Number of 1:1 hours per week
Number of waking night required per night
Number of additional hours required for college holidays per year
Number of sleep-in required per night
Details of the individual Tenants day to day support needs including their specific behaviours
Add attachments/additional details
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