Nightingale - the care home for older Jewish people

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20 May 2012

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Residential
and Nursing Care

Upcoming events

Respite (Short Stay Care) at Nightingale Application Form

Step 3 of 4

Boxes with an asterisk * next to them are required items

Activity Details

Please state your hobbies or interests

Please tick which you would be interested in

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Knitting

Sewing

Embroidery

Poetry

Painting

Drama therapy

Pottery

Cookery

Music

Card games

Music therapy

Keep fit/relaxation

Discussion

Gardening

Drawing

Current affairs

Writing

Board games

Other

Do you have any special dietary requirements?

Yes

No

If YES please state

105 Nightingale Lane London SW12 8NB Tel: 020 8673 3495

Nightingale Hammerson – Registered Charity 207316