Car access referral

If you need help, please call William Merritt Disabled Living Centre on 0113 350 8989, email info@wmdlc.org or SMS 07858 224 510

This form is for car access assessments. If you wish to be referred for a fitness to drive or driving
adaptations assessment, please use the driving assessment application form.

When you press Submit, above, you will be taken to a payment page. After payment is made we will contact you to arrange an appointment. If your service is free, you will simply receive an acknowledgement.