Make a Referral

How to make a referral

Families

After there has been a bereavement, or if someone is seriously ill, families can refer to us directly by completing the referral form below.

Professionals

After a bereavement:

We ask that families make the referral rather than professionals. However, we do offer a no-names consultation service for professionals who would like advice on whether SeeSaw would be the right place to signpost families (please complete the referral form below stating you would like a no-names consultation.)

Please do not include personal details of children in the referral form if you do not have permission to do so from the family.

Palliative Care Professionals

When someone in a family is dying the palliative care team around the family may make contact with us to refer a family, with the permission of the family.

Young People

Older young people can refer themselves but we usually prefer to have the permission of their parents/carers if we can.

Request support from SeeSaw

To request bereavement support for a child or young person please complete the form below.

A member of staff will contact you within 48 hours (working days Monday to Friday) to discuss what support SeeSaw may be able to offer.

Your name

Your address

Your telephone number

Your email address

Your relationship to the child/children

Please tell us who is ill / Who has died

What is their relationship to the child/ren?

Child's first name

Child's surname

Child's date of birth

Child's school (if applicable)

Add another child

Child's first name

Child's surname

Child's date of birth

Child's school (if applicable)

Add another child

Child's first name

Child's surname

Child's date of birth

Child's school (if applicable)

Add another child

Additional children's details

Please give brief reasons why you are contacting SeeSaw e.g. advice re recent bereavement, support for expected bereavement, general information

What is your ethnic group?

Why are we asking about your ethnicity?
SeeSaw uses this information to check that the service we provide is being accessed by all ethnic groups represented in Oxfordshire. We will regularly review this data to ensure that our service is relevant, accessible and appropriate to all and make changes if we become aware it is not.

To help us give advice and keep in contact with you we need to record and store some information about you and your family. Can you confirm you are happy to go ahead on this basis?