First Steps programme - registration form


1. Introduction
Page 1 of 5

Thank you for your interest in the First Steps programme. The First Steps programme is for people who have been newly diagnosed with Parkinson's. 

Please answer all the questions on this form. The information you provide will be used to ensure this is the right form of support for you and to allocate you a place on the most suitable group.

Personal information you share here will only be used by Parkinson's UK in relation to your registration on to the First Steps programme. We will hold your information securely on a database. We never share data with third parties. You can read more about our privacy policy here.

If you have any questions about this form, please email