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RHOI

Make a Referral to the Baby Bank

Thank you for being willing to refer a baby and/or parent to The Parish Trust's Caerphilly Baby Bank and Maternity Supplies Project. Please be aware that this form is for professionals only. If you are a parent in need of support for yourself or your baby, please contact your health visitor, social worker, or other professional who is caring for you. Once this form is submitted, our team will contact you and work with you to arrange for you to collect the support package at a date and time convenient to you, so that you can pass it on to the baby and/or parent(s) that you're supporting.

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Referrer Details

Please ensure that this email address is an official work email address.

Please ensure that this is the best number for you, so that we can contact you to discuss this request.

Parent/Carer Details

Filling in this page is optional. However, we strongly encourage you to share details with us with the parent's consent in order for us to offer other services that may be of benefit to them such as food support, free data, calls and texts, and ongoing support.

The Request

Please use this page to make your request. You can request maternity supplies which will include items such as maternity clothing and toiletries, or you can request for a child. You can only request for one person (adult or child) at a time. If you need to request for an adult and a child, or multiple children, please complete another referral request after submitting this one.

Maternity / Antenatal Pack

The Maternity / Antenatal Pack is a request for maternity/nursing clothing and hygiene items.

Maternity / Antenatal Pack

The Maternity / Antenatal Pack is a request for maternity/nursing clothing and hygiene items.

Please put N/A if you'd just like to request general toiletries

Please note, these items are subject to availability and not guaranteed.

Final Details

Tick all that apply.

This will not affect the ability for the family to receive support from us.

Cadw diweddaru gyda'r hyn rydyn ni'n ei wneud ...

Cofrestrwch i'n cylchlythyr...

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