Request Support

The easy way…

If you would like to request support for you or someone else, just fill out our short form below and someone will be in touch very soon.  Please provide as much information as possible, and particularly as many ways to contact you as we can.


Not sure what you need?

We offer a wide range of support and other services to individuals, family members, carers, friends, support workers and professionals.

We cover so many topics… some might not even expect.

Check out ‘Our Work’ to see what we do and how we do it.  With lots more detail about the types of things we support people with, you should find what you’re looking for there.

No Form?  No Problem!

If the form does not appear above, you’re probably using an older web browser.  If this is the case, click on the button below to download the Microsoft Word version of our request form.

Please return completed forms to referrals@umbrellacymru.co.uk.  You will receive confirmation once the request has been processed.

IMPORTANT!!  WE DO NOT ACCEPT PAPER REQUESTS

DOWNLOAD REQUEST FORM