We provide support to help families manage their mental health and wellbeing during pregnancy and after birth

Referral Form – Devon- Dads In Mind

* Please be careful to look at the areas we cover before proceeding to refer *

The individual should have been affected by depression/anxiety related to their own new role as an expectant or new parent or be supporting an unwell partner and have a little one up to 2 years old. 

We retain the right to determine which of our services will be most suited to those referred. If you have any concerns about the referral process or the support for the individual, please contact info@bluebellcare.org

We can accept self-referrals or referrals from professionals using this secure online form – if you would prefer to post a referral then please contact us and we can send you a form to download. 

We cannot accept referrals from our general Dads in Mind email address. 

Dads in Mind respects your privacy and stores your data securely and will never share your data with a third party without your consent. Please see our privacy policy here

All questions with red asterisks (*) are mandatory. You will not be able to submit the form unless you complete theses fields.

We are currently receiving high levels of referrals and so to manage expectations, it may take up to 3 weeks before one of the team can make contact with a parent – thank you for your patience at this busy time.

Referrer name and contact details:

Equality and Diversity monitoring questions

At Bluebell we are committed to providing equal opportunities and fair treatment to all those who use our services. In order for us to ensure that we achieve this, it is necessary to request information on a number of characteristics relating to equality and diversity, it would be helpful if you could complete these optional questions. If you would like the form in an alternative format, or would like help in completing the form, please email info@bluebellcare.org.

We recognise that maintaining the confidentiality of certain information is necessary and are committed to practices and procedures that reflect this. We believe that information our service users give to us in confidence should only be used for the purpose intended by the service user. Our staff and volunteers will not normally divulge information that could compromise a person’s safety or right to privacy however there may be times when a member of staff or volunteer consider it necessary to disclose information to others within the organisation or an outside agency for the sole purpose of the safety and wellbeing and the service user and/or their family members.

Please note that information contained in this form will be stored and processed as part of our legitimate interests. Full details are contained in our privacy notice. Please ensure that the referee is aware of this.

Thank you very much for your referral.

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