Apply for a Special Treat or Special Day
How to refer to Willow
All applications must be submitted by a medical referrer on behalf of their patient. We welcome referrals from doctors, nurses and other key workers/lead professionals who have an on-going relationship with the applicant and can access their medical records to complete the information on the application form.
Please make sure you have checked our eligibility criteria before you apply.
We now have a new online application system, with a separate form for each service type. We will no longer accept applications made using our old paper form.
For Special Days specifically, one key difference compared to our old application form is that we no longer ask for the choice of Special Day. This is now discussed after an application has been approved, once a Special Day Coordinator has been assigned and they discuss the options in detail directly with the applicant.
What happens when my referral is received by Willow?
Once the online application form has been submitted, this will then be checked by one of our Medical Advisors to check eligibility before being approved.
If so, one of our Special Day Coordinators will contact the applicant directly to start discussing their Special Day plans, or arrange sending their Special Treat to them.
If further information is required our Medical Advisors will contact the medical referrer directly.
If the application is not approved, we will contact both the applicant and referrer to notify regarding the reason. This will typically be due to not meeting the eligibility criteria or perhaps having received support previously from Willow.
Online Application Forms
Important note - If eligible for both support types, please only apply for a Special Treat or Special Day, not both. We can only offer one instance of support per person, so you will need to choose one or the other.
Currently restricted to those who meet our criteria and:-
- Are receving palliative care/treatment
- Have a degenerative condition
If your patient is receiving curative treatment, they can still apply for a Special Treat in the section below.
Apply for a Special Day for your patient (this should be completed by the medical referrer on behalf of their patient)
Available to all groups within our eligibility criteria including those:-
- Receiving curative treatment
- Receiving palliative care/treament
- With degenerative conditions
Apply for a Special Treat for your patient (this should be completed by the medical referrer on behalf of their patient)