Referrals

We only accept referrals from professionals. Please ask your Health Visitor, Midwife or other support worker to submit a referral on your behalf.

Referrals

Referrer Details

Name:

Organisation:

Role:

Phone number:

E-mail:

Please double check you've typed this correctly!

Client Details

Client name:

Baby due date:

Baby gender (if known):

Date Items Required By - Please give at least 72 hours notice unless it is an emergency:

Bundles

Select Bundles Required:

Baby bundle

New mum bundle

Clothing bundle

N/A

Please note any amendments to the standard bundles (i.e. no Moses basket needed):

Children Clothing Bundle Details

Only needed if the clothing bundle is selected above.

Child one

Gender:

Size:

Child two

Gender:

Size:

Child three

Gender:

Size:

Child four

Gender:

Size:

Requests for other items

Please list any other items requested here (i.e. high chair, steriliser, bedding, toiletries etc. Sizes must be supplied for any requests for nappies, shoes and bedding):

Please note: the majority of items are supplied from the donations we receive. Bundles contain a mix of new and nearly new items. We always do our best to supply all of the items requested however there may be times we are unable to source something which has been required.

Your Data: At Pembrokeshire Baby Bank, we take your privacy and data protection seriously. We want to assure you that we are fully committed to complying with the General Data Protection Regulation (GDPR) and other applicable data protection laws. You can read our privacy policy here.

As part of our commitment to transparency and compliance, we want you to know that we may collect and retain certain details about you as a referrer. This information is securely stored, and we use it solely for the purpose of maintaining a record of our business relationship and for communication related to our products or services.

Your trust and confidence in our handling of your data are of utmost importance to us. If you have any questions about the data, we hold about you or if you wish to have your details removed from our records, please do not hesitate to contact us. We are here to assist and address any concerns you may have.

If you would like to request data removal, please contact us.

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Alternatively, if you are having trouble with the submission form, please click here to send us an email. Don’t forget to include all the relevant information from this page for the case you’re submitting.