Bereavement Referral Form

Hi, we’re Leo’s, a parent-led charity who has been exactly where you’re sitting right now.

This form is for parents who have sadly lost a baby or babies during a neonatal stay.

Our team of trained peer support mentors all have lived neonatal experience and are ready and waiting to take care of you.

Alongside our peer mentors, we have a caring counselling team who offer talking therapies, EMDR and CBT support.

We are not a crisis service, if you feel you are in a mental health emergency and are unable to keep yourself or someone else safe, please contact 999.

Please note, our team only covers the North East of England and we are sadly unable to support you if you are outside of our region.

Before you start this form, we just want to say, well done for reaching out for support, we know how hard it can be.

Refer For Support


Facts & Figures

79% of parents said a neonatal stay affected their mental health

Leo’s saw a 337% increase in need due to COVID-19

Did you know, reading to your baby in the NICU helps their development?

Leo's Neonatal

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