Ask for support

Rainbow Trust provides emotional and practical support to families whose son or daughter is affected by a life threatening or terminal illness. This includes parents, carers, the unwell child, brothers, sisters, grandparents and help with extended family members to support each other.

Any family can receive support from the moment of their child or young person’s diagnosis, (including antenatal and neonatal periods when diagnosis has been made) and support with young people during transition towards adult services up to the age of 18.

Anyone can refer a family to us (for example, a family member, friend, health, education or social care professional) provided consent from the family has been given for the referral to be made. Please see our FAQ’s for more detail on our support and criteria for support.

Form

Name of child *
Child's DOB *
Gender *
Diagnosis (have you checked this falls within our criteria?) *
Name of parent(s)/carer(s) *
Family address *
Postcode *
Contact number(s) for family *
Are you the parent/carer or a professional? *
Nature of support required (if known)
Does the child’s parent/carer consent to this referral? (Please note: we can only accept a referral if consent has been given)
- Yes
- No
Your first name *
Your last name *
Your relationship to the family *
Your email

Hi and thanks for your message. One of the team will get back to you shortly

Rainbow Trust Children’s Charity

Ask for support

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