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

Referral Form – Little Bluebell

* 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 mel@bluebellcare.org

We can accept referrals from professionals and self-referrals using this secure online form or by post only. Please do not email referrals directly to the Bluebell email address.

If you prefer to download a form – Click here and then post (please do not email) to Little Bluebell. PO Box 113, Brixham, TQ5 5BH Please call: 07955 281 214 in case of query.

Bluebell 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

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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