Thank you for completing this Referral form

You will now be placed on our waiting list and should be contacted to confirm your referral within a 1 to 2 weeks.

The waiting list for our service varies but is usually between 4 and 12 weeks. Please feel free to contact us on 01686 621586 or at admin@ponthafren.org.uk if you have any questions or want to check the status of your referral.

In the meantime you are welcome to contact us for a chat during out opening hours or to Use Our Out Of Hours Helpline or you can use our list of useful numbers if we are not available.