Get sleep help

If you have a child 16 or under with a brain related condition fill in our referral form below and we could give you the help you need to get a good night’s sleep.

About you

About the child you care for or support

(We can only accept a referral for children who are diagnosed with a brain related condition, or are going through the assessment process)

Cerebra is committed to protecting and respecting your privacy. We will use the information you have provided to process your request and, where appropriate, to help you deal with the issues recorded on the form.

We will store your details electronically and keep it secure. We will not sell or share it with third parties. We will keep your personal data for no longer than is necessary for the purposes described above.

There are a few exceptional circumstances where we may have to breach confidentiality and pass on your details without your consent. For more information please view our privacy policy.

Please tick the box below to give us permission to use your personal information in this way. You can withdraw your permission at any time by contacting [email protected] For more information about your rights under data protection legislation, including your right to make a complaint to the Information Commissioner’s Office, please visit

If you have any queries about how we handle your personal information, please contact us at [email protected]