Send a Referral

Please send referrals using one of the following two options

Number One

Through our secure online referral platform.

number 2

Download and print the referral form, returning it by post/fax/scan/email.

Referrals require supporting medical reports via post, fax or email.

Postal Address:
Family Support, The Jack & Jill Children’s Foundation, Johnstown Manor, Johnstown, Naas, Co. Kildare

Email:
[email protected]

Fax:
045 894 558

Any Questions?

Phone: +353 45 894 538 or Email: [email protected]