Hospital Order Form for Neuroendocrine Cancer UK Literature
Please note: This order form is for healthcare professionals only. If you are a patient or supporter, please complete our
Patient Information Order Form.
Additionally, we only deliver to the UK.
Hospital Information
Hospital Name
Department
Contact Person:
(Full Name)
Role/Position
Phone Number
Email Address
Delivery Information -
Delivery Address
: Please specify the floor or department to ensure the post room can direct your order accordingly.
Hospital Name
Department / Floor etc.
City / Town
County
Postcode
Country
Please select...
England
Northern Ireland
Scotland
Wales
Resources Requested
Neuroendocrine Cancer Virtual Patient Handbook
Description
: This is an interactive
online
toolkit for individuals living with neuroendocrine cancer.
Note
:
This resource is only available online. Please visit the
Neuroendocrine Cancer UK Virtual Patient Handbook
to access the handbook.
Patient Leaflet
Description
: A leaflet for those newly diagnosed with neuroendocrine cancer, outlining support resources, services, and the Neuroendocrine Cancer UK mission.
Newly Diagnosed Booklet
Description
: A comprehensive guide for those living with neuroendocrine cancer, including practical tips and community resources.
Note
: Hospitals may only order a
sample copy
. This booklet is for patients
without access to the internet
. For patients with internet access, please hand out the
patient flyer
which includes a QR code for direct access to the virtual handbook online. If you would like to purchase this booklet in bulk, please visit our
shop
.
Please tick to order a sample of the Newly Diagnosed Booklet
Wallet Cards
(Only available as a
sample
order)
Note
: Hospitals may only order a
sample copy
.
Note
: Patients must order this card directly from us by either ordering online or calling the office.
Please tick to order a sample of the Urgent Toilet Access Card -
Currently out of stock - expected 09/12/2024
Please tick to order a sample of the Bowel Obstruction Risk Card
Please tick to order a sample of the Carcinoid Crisis Risk Card
Order Details
Purpose of Order
Please select...
For Patient Use
Educational Materials
Staff Training
Patient Support
Awareness Campaign
Clinical Reference
Research/Clinical Study
Community Outreach
Other – If you require literature for a training event or awareness campaign, please specify the purpose below, and a member of our team will get back to you.
Keeping in Touch
Your support is vital, and we’d love to keep you updated on our news, activities, and appeals. Your details will only be used by Neuroendocrine Cancer UK, and we will never share your information with other organisations for their own purposes. You are free to change your preferences at any time. Please let us know if you are happy for us to contact you:
I give my permission to be contacted by Neuroendocrine Cancer UK regarding my order
I would like to receive newsletters and updates
I do NOT want to receive newsletters or updates
How did you hear about us?
Email Newsletter
Social Media
Word of Mouth
Neuroendocrine Cancer UK Website
Medical Professionals or Healthcare Providers
Other Organisation's Website or Newsletter
Community or Support Group
Internet Search Engine (e.g., Google)
Other; please state:
Contact Information