Phone support referral form

Please note that due to the current situation, we are currently offering support to families by phone only. We are accepting new referrals for limited phone support, aimed at offering emotional support and signposting.

Please use this form to refer families for volunteer phone support with emotional support and signposting. You should ensure that the family understand our privacy notice and consent form, and you will be required to confirm that they have given consent.

Please do not include personal or identifiable details at this stage.

Once your form has been received, a Coordinator will be in touch to take full details.

If you have any questions about the referral process, or want to check whether we can accept a referral before submitting it, please contact us on

Fields indicated by * are mandatory.

This will be used to take the full referral from you so please check it carefully.

Please do not include identifiable details.

Note: we cannot always provide this

Please detail any other issues that we need to consider when providing phone support.

You can download a copy of the statement at the top of the page.