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Your details
Title
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Prof
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Who are your patients?
Adults
Paediatric
Please tick all that apply
Medical specialisms
Academic Scientist
Assistant Professor
Clinical Nurse Specialist
Clinical Oncologist
Clinical Psychologist
Counsellor
Dietitian/nutritionist
ECLO
GP
Health professional (other)
Health Visitor
Information Professional
Lay specialist
Lecturer
MacMillan Nurse
MDT Coordinator
Neurologist
Neuro-oncologist
Neuropathologist
Neuropsychologist
Neurosurgeon
Nurse
Occupational Therapist
Ophthalmologist
Optical Committee Member
Optician
Optometrist
Paediatric Nurse
Pharmacist
Physiotherapist
Play Specialist
Professor
Radiographer
Radiologist
Radiotherapist
Research Administrator / PA
Research Associate
Research Fellow
Scientific Officer
Social care
Speech and Language Therapist
Student
TYA Nurse
TYA Psychologist
TYA Social Worker
TYA Support Worker
TYA OT
TYA Other
Other
Work email address
Work phone number
Organisation address
Work postcode
Work address
Work address 2
Work town / city
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After completing this form, you'll have access to download our full range of healthcare information immediately after submitting this form. You will also receive a link via email to access these again.
Unfortunately, due to the spread of covid-19, we're currently unable to send out any printed materials at this time.
Would you also like to order printed versions of our materials?
Yes
No
Request printed materials
Please select the number of each printed material you need and we'll aim to post them to you within seven working days.
HeadSmart packs
HeadSmart pack for opticians
25 x HeadSmart cards
1 x HeadSmart card holder
1 x letter for optometrist
1 x guideline summary posters
1 x driving with brain tumours
1 x vision loss and brain tumours booklet
Please select...
1
2
3
4
5
6
7
8
9
10
Other
HeadSmart pack for healthcare professionals
25 x HeadSmart cards
1 x HeadSmart card holder
1 x letter for GP surgery
2 x guideline summary posters
Please select...
1
2
3
4
5
6
7
8
9
10
Other
HeadSmart pack for educators
25 x HeadSmart cards
1 x HeadSmart card holder
1 x letter for head teacher
1 x letter for parents
Please select...
1
2
3
4
5
6
7
8
9
10
Other
HeadSmart collateral
HeadSmart cards
Please select...
1
2
3
4
5
6
7
8
9
10
Other
HeadSmart card holders
Please select...
1
2
3
4
5
6
7
8
9
10
Other
Information for patients and families
Adult support services information cards
Please select...
1
2
3
4
5
6
7
8
9
10
Other
Children & Families support services information cards
Please select...
1
2
3
4
5
6
7
8
9
10
Other
Young Adults Services information cards
Please select...
1
2
3
4
5
6
7
8
9
10
Other
Brain Tumour Information Packs
Please select...
1
2
3
4
5
6
7
8
9
10
Other
Research Involvement Network flyers
Please select...
1
2
3
4
5
6
7
8
9
10
Other
Would you like to set up a recurring order?
Yes, I'd like to be contacted by The Charity about arranging a recurring order of materials
No
Stay in touch
After completing our form, you'll get access to our online materials but we'd love to keep you up-to-date on how we're making a difference, including information about learning opportunities, resources and support for patients and their families, research/clinical trials and how to get involved, e.g. through relevant events, campaigns or volunteering.
Would you like to hear from us by email?
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Would you like to hear from us by sms?
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Please tell us your mobile phone number
How did you hear about us?
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Search engine (i.e. Google)
Social media
Press (newspaper, radio, TV)
Through a family member, friend or colleague
Recommended by a healthcare professional
Recommended by another charity
Through a professional body
Health website (i.e. NHS Choices)
Fundraising website (i.e. JustGiving)
Other
We promise to keep your details safe and never sell or swap them with anyone. Our
privacy policy
explains how we keep this promise. If you don't want to hear from us, or you change your mind about how we contact you, please email
enquiries@thebraintumourcharity.org
or call 01252 237792
Contact Information