Contact

We take feedback really seriously here at St Richard’s and want our service users’, supporters’ and customers’ experiences to reflect the values that we hold dear as an organisation.

Please do not send confidential patient information through the general contact form or enquiries email address.

So that your message goes to the right person, please select one of the options in our form below.

Enquiry Form

Select one of the options below*
- 1. General enquiries
- 2. Fundraising, events & volunteering
- 3. Our care & referrals
- 4. Compliments, complaints & feedback
Please do not send confidential information if selecting options 1 or 2.
You’ve selected ‘enquire about care and support’.

This form is for people who wish to contact our clinical team with a non-urgent enquiry about the hospice’s services.

The information you share in this form will help us give you the best support possible.

Some of the information we ask for on this form is mandatory. These details allow us to create an accurate record of your enquiry, and any support provided in the future.

The form is sent to our Referrals Team, who will direct your enquiry to the appropriate staff member for a response. We aim to respond to your message within two working weeks.

Thank you.
Name*
First Name Last Name
What name do you like to be known by?
Your Date of Birth*
Day
Month
Year
Your Contact Information
Email*
Email*
Phone*
Phone*
Email*
Phone
Organisation
Website
I am enquiring about*
Subject*
Your message*
PLEASE READ*
- I confirm that I have read the privacy policy and fundraising promise of St Richard’s Hospice and consent to the use of my personal data as set out as stated.
A copy of this form will be sent to the email address provided. Please check your email address is correct
PLEASE READ*
- I confirm that I have read the privacy policy of St Richard’s Hospice and consent to the use of my personal data as set out as stated.
If you would like a copy of this form to be emailed to you, please ensure you have provided your email address in the ‘Your Contact Information’ field. Please check your email address is correct before submitting this form.
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Find out more about our feedback procedure by visiting our Comments, compliments and complaints page.

St Richard’s Hospice Foundation,
Wildwood Drive, Worcester,
WR5 2QT

01905 763963

We take feedback really seriously here at St Richard’s and want our service users’, supporters’ and customers’ experiences to reflect the values that we hold dear as an organisation.

Enquiry Form

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