Make a referral: This won't take long Get in touch Our friendly staff are always available to help you through the process of choosing the right care for you or your loved one. If you need help, please get in touch for more information. CALL US ON: 0208 087 3037 info@orchidsupportservices.co.uk Contact Us Your Name* Name Surname How do you want us to contact you?*Please selectPhone callEmailText messageYour Email* Your Phone Number*Your Landline Phone Number*Tell us who you are enquiring for*Please selectMyselfA loved oneA ClientPrimary need*Please selectAutismBrain Injury Non-RehabBrain Injury RehabChallenging BehaviourComplex Healthcare-AdultComplex Healthcare-ChildDementiaDown's SyndromeEpilepsyHuntington's DiseaseLearning DisabilitiesMental HealthPhysical DisabilityPrader-Willi SyndromeDo you have funding in place? Yes No Age of person requiring support*Gender of person requiring support*Please selectMaleFemaleTransgenderCounty where support is to be delivered*Please selectBedfordshireBerkshireBristolBuckinghamshireCambridgeshireCheshireCity of LondonCornwallCumbriaDerbyshireDevonDorsetDurhamEast Riding of YorkshireEast SussexLondonGloucestershireGreater LondonGreater ManchesterHampshireHerefordshireHertfordshireIsle of WightKentLancashireLeicestershireLincolnshireMerseysideNorfolkNorth YorkshireNorthamptonshireNorthumberlandNottinghamshireOxfordshireRutlandShropshireSomersetSouth YorkshireStaffordshireSuffolkSurreyTyne and WearWarwickshireWest MidlandsWest SussexWest YorkshireWiltshireWorcestershireAdditional informationPlease share any further relevant information regarding your enquiry. By using this form you agree with the storage and handling of your data by this website as defined in our Privacy Policy. *