We need confirmation from a professional that this family meet the criteria and understand that the voucher should be used within two months of receipt and that Together for Short Lives will hold information about them in line with our Data Privacy Notice.
We will need a name and email address (or postal address) in order to send the voucher to the family. We will also ask for basic information about the household for our monitoring and reporting purposes:
- Town of residence
- Number of people in household
- Child’s diagnosed condition
- Ethnicity of main carer
The referral form is at the bottom of this page.