Name – Forename and Surname must be included.
Whether requesting for yourself, a loved one, friend or client you will be our contact throughout the procedure. You will be expected to sign a declaration ensuring that all details are correct, agree the terms on which a pillow is funded and be responsible for ensuring the person using the pillow knows how to use it correctly. You will also be responsible for replying to Sleep-Safe tax exemption/address check email.
Email address – Please double check that your email address is correct before submitting, this is how we will contact you. We have a number of emails bounce each month.
Phone number – We will only contact you via phone or text as a last resort should you be untraceable via email.
Full Address – We do not need to know your full address. When dispatching a pillow the courier only needs to know the above. Only addresses in the UK will be accepted.
Name – This is mainly for those requesting on behalf of clients but will also help us ensure that a request hasn’t been made by someone else and that they are not already in receipt of a sleep-safe pillow.
Age – We do not fund pillows for children under the age of 2 years old which is the main purpose for this question. If a child will be 2 soon please include the date of birth. Secondly, we like to know who our demographic is. We need to know who we are helping most and where we need to work on getting the message of sleep safety out.
Reason for request – Here we require you to give as much detail regarding the diagnosis as you can, including seizure types (a description will do if you don’t know the names) frequency, medication and any other supporting information. Single use words or phrases like ‘Epilepsy’, ‘I’m epileptic’ or ‘I have fits or seizures’ are not an adequate response and will delay an application. We need to know about the person with epilepsy and why an anti-suffocation could help in their circumstance.
Please also note we use person first terminology. Seizures are epileptic – People are diagnosed with epilepsy. Also. ‘fits’ and ‘episodes’ could have double meaning so please try to use the term seizure so there’s no confusion.
Your data will not be shared or used for any other purpose.