Referral Form | Peeps | HIE Awareness & Support

Referral Form

This form can be completed by the parent/carer or healthcare professional of any child in the UK who has received an H.I.E. (hypoxic-ischaemic encephalopathy) diagnosis.

The information will be used by Peeps (registered charity 1179495) to contact the family, offer relevant support, and keep updated with any services that may be of use to them.

Further information can be found on the within our Privacy Policy, by emailing or by phoning 0800 987 5422.


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