Give us a call today: 0204 634 7313

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Disability Living Allowance (DLA)
Contact us

Give us a call today: 0204 634 7313

Check your eligibility

Please fill out all fields on behalf of your child. You do not need to complete all information, please note that some fields are marked optional.

Eligibility Form

Parent / Guardian First Name(Required)

Parent / Guardian Last Name(Required)

Phone Number(Required)

Email address (optional)(Required)

What is your child’s date of birth?

DD slash MM slash YYYY

Does your child have British Citizenship?

Is your child currently in residential care?

Have you applied for or do you have any of the following EHCP (Educational, Health and Care Plan), Individual Education Plan (IEP), Individual Behaviour Plan (IBP), Co-ordinated Support Plan (CSP) ?

Have you applied for DLA in the past?

Does your child currently claim DLA or PIP?

Which UK country is your child in?

Select any of the following conditions that relate to your child:

Has your child had at least one of these conditions for the last 3 months?

As a result of these conditions, does your child have any extra care needs, difficulty or need encouragement with the following:

Moving around or walking

Discomfort, breathlessness or dizziness when moving around

Need for wheelchair or mobility aid

Need for support or close supervision in public

Encouragement, or assistance to get in/out or settle in bed

Toileting issues

Washing or bathing

Getting changed

Eating and drinking

Needs assistance with medication or an inhaler

Communication difficulties, hearing, speaking

Difficulty making friends or participating in activities

Difficulty understanding the world around them

Require extra help learning at school or nursery

Unpredictable or disruptive behaviour

Self-harming behaviour

Aggression towards others

Need for specialised equipment

Refusal episodes

When is the best time to contact you?

All it takes is a quick conversation.

0204 634 7313

Line open. Give us a call

Monday – Friday / 09:00AM – 18:00PM

Trusted.
Informed.
Dedicated.

Kiora, Spaces,
Avon House, Avonmore Road 
London, W14 8TS

0204 634 7313 | hello@kiora.org.uk |

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Disability Living Allowance (DLA)
Check Eligibility

Supported by Innovate UK, through the Smart Grants programme

Anaemia – vitamin B12 or folate deficiency anaemia
Anaemias
Ankle and foot disorders
Anxiety disorders
Asthma
Attention Deficit Hyperactivity Disorder (ADHD)
Autism Spectrum Disorder (ASD)
Back pain
Blindness or Vision Impairment
Bowel cancer (colon, rectum, anus)
Breast cancer
Cancer
Carpal tunnel syndrome
Cataract
Cerebral Palsy
Cerebrovascular accident (stroke)
Chronic kidney failure / renal failure
Clotting disorders
Conduct Disorder
Crohns disease
Cystic Fibrosis
Deafness or Hearing Impairment
Dementia
Depression
Developmental Delay
Diabetes mellitus (category unknown)
Diabetes mellitus T1 (Type 1, insulin dependent)
Diabetes mellitus T2 (Type 2, insulin and non insulin dependent)
Disruptive Mood Dysregulation Disorder (DMDD)
Down's Syndrome
Dyscalculia
Dyslexia
Dyspraxia
Epilepsy
Glaucoma
Gout
Hearing – disease affecting hearing and balance
Hearing – vertigo
Heart failure
Hernia
Hiatus hernia / gastroesophageal reflux disease / reflux oesophagitis
High blood pressure (HBP)
Hypertension
Incontinence (not enuresis / bedwetting)
Intermittent Explosive Disorder (IED)
Kidney disease or disorder
Knee disorder
Learning Difficulties
Lumbar disc lesion
Lumbar spondylosis, osteoarthritis of the spine, spondylitis
Lung cancer
Lymphoedema
Memory loss, short or long term
Meningitis
Meniscal lesions
Motor neurone disease (MND)
Muscular Dystrophy
Non-Hodgkin lymphoma
Oppositional Defiant Disorder (ODD)
Overactive thyroid / hyperthyroidism (thyrotoxicosis), including graves disease
Post traumatic stress disorder (PTSD)
Pulmonary fibrosis
Renal calculi
Rheumatoid arthritis
Rotator cuff disorder
Schizophrenia
Sciatica
Sensorineural hearing loss
Shoulder disorder
Skin cancer
Sleep apnoea – obstructive
Spinal stenosis
Transient ischaemic attacks (TIAs)
Underactive thyroid / hypothyroidism (myxoedema)
Urinary tract infection
Vision – Other diseases