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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 have an online application form for each service type. We will not accept applications made using our old paper form.


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 further information is required our Medical Advisors will contact the medical referrer directly.

If approved, 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 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 from Willow previously.


Online Application Forms

Important note - If eligible for both support types, please only apply for a Special Day or Special Treat, not both.  We can only offer one instance of support per person, so you will need to choose one or the other.  All applications will be valid for 12 months from the date of approval.

 

Special Days

Experiences to share with loved ones, spending time together and making memories.  There are three categories of Special Day, with restrictions on who can apply for each:-

  • Day out - A day trip or experience - examples include theme parks, meals out, sporting events, theatre tickets etc.

Available to all groups who meet our eligibility criteria.

  • At home - If shielding or unable to leave the house, we can arrange activities in the home - examples include pamper experiences, film nights, hot tub hire (in a garden), food experiences etc.

Available to all groups who meet our eligibility criteria.

  • Break - This could be an overnight stay at a hotel, B&B or a longer self-catering break (such as a holiday park or cottage/lodge).

This option is currently restricted to those:-

  • Receiving palliative care/treatment or;
  • Have a degenerative condition

 

The same application form is used for the above categories. More information on what options are available will be sent to your patient if their application is approved.

Apply for a Special Day (this should be completed by the medical referrer on behalf of their patient)

 

 

Special Treats

Personalised gift boxes filled with goodies to brighten someone's day.

Available to all groups within our eligibility criteria including those:-

  • Receiving curative treatment
  • Receiving palliative care/treatment
  • With a degenerative condition

 

Apply for a Special Treat (this should be completed by the medical referrer on behalf of their patient)