Request Support

Looking for support for you or someone else? We can help!

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 of which you might not even think we cover.

Not sure what you’re looking for?

Check out our support services for information about what we do and how we do it.  You can see a list of our services, categories and topics.  You should find what you’re looking for in there.

If you know the type of support you’re looking for, just fill out our short form below and someone will be in touch very soon.

Please give us as much information as you can, and particularly as many ways to contact you as possible.


Quick Form


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 below to download our Word version referral / request form.

Please email the completed form to referrals@umbrellacymru.co.uk

DOWNLOAD OUR REQUEST / REFERRAL FORM