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Title
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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
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TYA Nurse
TYA Psychologist
TYA Social Worker
TYA Support Worker
TYA OT
TYA Other
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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.
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
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1
2
3
4
5
6
7
8
9
10
Other
HeadSmart card holders
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1
2
3
4
5
6
7
8
9
10
Other
Information for patients and families
Adult support services information cards
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1
2
3
4
5
6
7
8
9
10
Other
Children & Families support services information cards
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1
2
3
4
5
6
7
8
9
10
Other
Young Adults Services information cards
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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.
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How did you hear about us?
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Fundraising website (i.e. JustGiving)
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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