NI Hospice | Horizons Bereavement Support

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class="o-grid__item u-width-full u-a-center"> <h1 class="u-m-b2">Horizons Bereavement Support</h1> <p class="u-text-24"></p> </div> </div> </div> </div>   <div class="u-m-t3 u-m-b5 u-m-b7@l u-m-b3@m"> <div class="o-wrapper"> <div class="o-grid o-grid--center"> <img class="u-heart-breadcrumb" src="/img/heart.svg" alt=""/> <div class="o-grid__item u-width-10/12 u-width-full@l"> <ul class="c-breadcrumbs u-list-unstyled u-m0" > <li><a href="/our-services/children-s-services/">< Children's Services</a></li> <li><a href="/">Home</a></li> <li><a href="/our-services/">Our Services</a></li> <li><a href="/our-services/children-s-services/">Children's Services</a></li> <li>Horizons Bereavement Support</li> </ul> </div> </div> </div> </div>   <div class="u-m-b6 u-m-b4@l"> <div class="o-wrapper"> <div class="o-grid o-grid--center"> <div class="o-grid__item u-width-8/12 u-width-full@l"> <h3 class="u-m-b2">Royal Hospital Bereavement Support </h3> Belfast Health and Social Care Trust is working in collaboration with our Children鈥檚 Services to provide bereavement support to all families who experience the death of a child, under any circumstance in the Royal Hospital. </div> </div> </div> </div>   <div class="u-m-b8 u-m-b6@l"> <div class="o-wrapper"> <div class="o-grid o-grid--center"> <div class="o-grid__item u-width-10/12 u-width-full@l"> <div class="o-grid--full u-flex u-flex-wrap u-overflow-hidden u-radius-10 u-bg-purple5"> <div class="o-grid__item u-flex u-flex-align-center u-width-6/12 u-width-full@m u-order-2@m"> <div class="u-p6 u-p4@l u-p2@m"> <h3 class="u-m-b2"></h3> <p class="u-text-medium u-m-b3"> If a child dies, the specialist team at Children鈥檚 Hospice will offer immediate practical and emotional bereavement support to the family. </p> </div> </div> <div class="u-width-6/12 u-width-full@m u-a-full u-order-1@m"> <img src="/media/0ublprx2/bereavement-block-image.jpg?anchor=center&mode=crop&width=578&height=410&rnd=133316370817500000" alt="Image" class="u-width-full u-height-100pc u-object-cover"> </div> </div> </div> </div> </div> </div>   <div class="u-m-b6 u-m-b4@l"> <div class="o-wrapper"> <div class="o-grid o-grid--center"> <div class="o-grid__item u-width-8/12 u-width-full@l"> <h3 class="u-m-b2">How the Service Works</h3> A Hospital Professional will refer the family to Horizons Bereavement Service.<br /><br />From there, a member of our team will make contact by telephone w to speak to the family contact and discuss their needs. <br /><br />If a family feels they do not immediately need our support, we can arrange to check in with them at a time that is right for them. <br /><br />Should a family decide not to engage with bereavement care at this time, they will be given direct contact details for the service if their circumstances change.<br /><br />If you have any more questions or require further information, please contact Horizon House on 02890 777 635. </div> </div> </div> </div>  <div class="u-m-b6 u-m-b4@l"> <div class="o-wrapper"> <div class="o-grid o-grid--center"> <div class="o-grid__item u-width-10/12 u-width-10/12@l u-width-full@m umbraco-forms-form"> <div class="u-width-full u-bg-grey4 u-radius-10 u-p-x4 u-p-x2@l u-p-y8 u-p-y6@l"> Horizons Bereavement Service Referral Form <div class="o-grid o-grid--center"> <div class="o-grid__item u-width-8/12 u-width-10/12@l u-width-full@m"> <form action="/our-services/children-s-services/horizons-bereavement-support/" enctype="multipart/form-data" method="post"><input name="__RequestVerificationToken" type="hidden" value="Vjb65cqZLiGjfrzQ5lsAs4B7eh_8Twr8PWx_Nk7ADJuafflMmsS-n5Pqc9HYj8koPAIuajX1yR36rwIWh-jv6ZNkyTmSatSnDGuCfp5rxUg1" /><input data-val="true" data-val-required="The FormId field is required." name="FormId" type="hidden" value="119c3f6d-254d-4044-a858-1f69dda0d1f2" /><input name="FormName" type="hidden" value="Horizons Bereavement Service Referral Form" /><input data-val="true" data-val-required="The RecordId field is required." name="RecordId" type="hidden" 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/> <div class="umbraco-forms-page"> <section class="u-m-b5 umbraco-forms-fieldset " id="9377f97f-7260-475a-f8ed-a8a062077e54"> <div class="form-field umbraco-forms-field nameofchild shortanswer mandatory" > <label for="0e331b0c-918e-4929-9af3-7e3a7af46cd8" class="u-bold"> Name of Child <span class="umbraco-forms-indicator">*</span> </label> <input data-field-name="Name of Child" type="text" name="0e331b0c-918e-4929-9af3-7e3a7af46cd8" id="0e331b0c-918e-4929-9af3-7e3a7af46cd8" data-umb="0e331b0c-918e-4929-9af3-7e3a7af46cd8" class="text js-repeatable-field" value="" maxlength="255" data-val="true" data-val-required="Please complete this field." /> <span class="field-validation-valid" data-valmsg-for="0e331b0c-918e-4929-9af3-7e3a7af46cd8" data-valmsg-replace="true"></span> </div> <div class="form-field umbraco-forms-field nameofparents shortanswer mandatory alternating" > <label for="73887548-0bc1-4a45-a26e-0ca92a540875" class="u-bold"> Name of Parent(s) <span class="umbraco-forms-indicator">*</span> </label> <input data-field-name="Name of Parent(s)" type="text" name="73887548-0bc1-4a45-a26e-0ca92a540875" id="73887548-0bc1-4a45-a26e-0ca92a540875" data-umb="73887548-0bc1-4a45-a26e-0ca92a540875" class="text js-repeatable-field" value="" maxlength="255" data-val="true" data-val-required="Please complete this field." /> <span class="field-validation-valid" data-valmsg-for="73887548-0bc1-4a45-a26e-0ca92a540875" data-valmsg-replace="true"></span> </div> <div class="form-field umbraco-forms-field homeaddress longanswer mandatory" > <label for="c5a06cfb-e6da-4c30-e493-e9f3ce5f4dfe" class="u-bold"> Home Address <span class="umbraco-forms-indicator">*</span> </label> <textarea class="" name="c5a06cfb-e6da-4c30-e493-e9f3ce5f4dfe" id="c5a06cfb-e6da-4c30-e493-e9f3ce5f4dfe" data-umb="c5a06cfb-e6da-4c30-e493-e9f3ce5f4dfe" rows="2" cols="20" data-val="true" data-val-required="Please provide a value for Home Address" ></textarea> <span class="field-validation-valid" data-valmsg-for="c5a06cfb-e6da-4c30-e493-e9f3ce5f4dfe" data-valmsg-replace="true"></span> </div> <div class="form-field umbraco-forms-field telephonenumber shortanswer alternating" > <label for="3679f3fe-7b78-4963-8ba7-51906340db27" class="u-bold"> Telephone Number </label> <input data-field-name="Telephone Number" type="text" name="3679f3fe-7b78-4963-8ba7-51906340db27" id="3679f3fe-7b78-4963-8ba7-51906340db27" data-umb="3679f3fe-7b78-4963-8ba7-51906340db27" class="text js-repeatable-field" value="" maxlength="255" /> <span class="field-validation-valid" data-valmsg-for="3679f3fe-7b78-4963-8ba7-51906340db27" data-valmsg-replace="true"></span> </div> <div class="form-field umbraco-forms-field mobilenumber shortanswer" > <label for="8d4e0f16-46c8-486d-da66-3310218b58f6" class="u-bold"> Mobile Number </label> <input data-field-name="Mobile Number" type="text" name="8d4e0f16-46c8-486d-da66-3310218b58f6" id="8d4e0f16-46c8-486d-da66-3310218b58f6" data-umb="8d4e0f16-46c8-486d-da66-3310218b58f6" class="text js-repeatable-field" value="" maxlength="255" /> <span class="field-validation-valid" data-valmsg-for="8d4e0f16-46c8-486d-da66-3310218b58f6" data-valmsg-replace="true"></span> </div> <div class="form-field umbraco-forms-field gpnameaddressofpractice longanswer alternating" > <label for="42e9c981-0372-4d01-877d-5e0ad99ca942" class="u-bold"> GP Name & Address of Practice </label> <textarea class="" name="42e9c981-0372-4d01-877d-5e0ad99ca942" id="42e9c981-0372-4d01-877d-5e0ad99ca942" data-umb="42e9c981-0372-4d01-877d-5e0ad99ca942" rows="2" cols="20" ></textarea> <span class="field-validation-valid" data-valmsg-for="42e9c981-0372-4d01-877d-5e0ad99ca942" data-valmsg-replace="true"></span> </div> <div class="form-field umbraco-forms-field briefoutlineofevent longanswer mandatory" > <label for="e55afdf5-d59c-4dbe-a5de-9fd0f5987645" class="u-bold"> Brief outline of Event <span class="umbraco-forms-indicator">*</span> </label> 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