For example: Diabetes, Epilepsy, rare health condition, juvenile arthritis, chronic respitory illness
2. Is your child aged between 6 - 18 ?
I agree to this completed form being shared with Helium Arts and for my child to be referred to the Helium Arts’ Creative Health Programme.
I agree for Helium Arts to contact my child's patient support group liaison, consultant or key healthcare worker for the purpose of verifying my child's suitability for the Helium Arts Creative Health Programme
I consent to receiving direct marketing emails and news about Helium Art’s latest projects supporting children & teenagers with long-term medical conditions in hospital and community settings across Ireland, its various public events, fundraising activities & campaigns and any other news that is relevant to Helium Art’s development.
I agree for a Helium Arts’ staff member to contact me via phone and SMS ) in relation to my child’s registration with the Helium Arts Creative Health Programme.
I agree for a Helium Arts’ staff member to contact me via email in relation to my child’s registration with the Helium Arts Creative Health Programme.
Name & Address
GP & Local Authority
Type GP Practice name and click search
Type local authority (Council) name and click search
Enter your DOB, in format: dd/mm/yyyy
You have successfully registered.
Thanks for registering for Helium Arts Remote Programmes