Rainbow Resource Scheme

Registration Form

Your Health Visitor, Social Worker or supporting professional will be happy to help you fill in this form.

This form can be completed by a parent/carer, young person/child.

Please note that this Scheme is only available for families within Bath & North East Somerset.

Contact us
(One child/young person per application form)
Home Address
Please note that this Scheme is only available for families within Bath & North East Somerset.
Child's Details
Diagnosis Details
If a professional has given you a diagnosis of your child's condition, please state the condition and the name, address and status (e.g. Paediatrician, GP) of the professional
Further Details
Consent
Additional Options

This to ensure that you are a real person, and not a computer adding information automatically.

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