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Please fill in your details to request to follow The Brain Tumour Charity’s Teenagers Instagram account, indicating whether you are living with a diagnosis, or you are a sibling affected by a diagnosis.
.
Please choose
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I am living with a Brain Tumour
My family member has a brain tumour
Title
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Mr
Ms
Miss
Mrs
Mx
Dr
Prof
Rev
First name
Last name
Instagram handle (username)
Email address
Phone number
Phone type
Mobile
Home
Date of birth
You must be between the ages of 13 and 17 years to sign up
Postcode
Address line 1
Address line 2
Town / City
County
Information about your diagnosis
Tumour type (if known)
Please select...
Acoustic neuroma (also known as vestibular schwannoma)
Anaplastic astrocytoma
Anaplastic oligodendroglioma
Astrocytoma
AT/RT (atypical teratoid/rhabdoid tumour)
Brain stem glioma
Choroid plexus tumours
CNS lymphoma
Craniopharyngioma
Diffuse astrocytoma
Diffuse midline glioma (previously known as DIPG)
Embryonal tumours (including PNETs)
Ependymoma
Familial tumour syndromes (including NF1/2, Von Hippel and schwannomatosis)
Fibrillary astrocytoma
Li-Fraumeni
Ganglioglioma
Germ cell tumour
Glioblastoma (GBM)
Haemangioblastoma
Medulloblastoma
Meningioma
Metastatic brain tumour
Mixed glioma
Oligodendroglioma
Optic nerve glioma
Pilocytic astrocytoma
Pineal region tumour
Pineoblastoma
Pituitary tumour
Schwannomas
Spinal cord tumour
Unspecified glioma
Other
Please tell us your tumour type
Tumour grade (if known)
Low grade (1-2)
High grade (3-4)
Recency of diagnosis (if known)
Within the last two weeks
Within the last four weeks
More than four weeks ago
Date of diagnosis (if known)
What is your primary hospital?
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Aberdeen - Aberdeen Royal Infirmary
Belfast - Royal Victoria Hospital
Birmingham - New Queen Elizabeth Hospital
Bristol - Bristol Royal Infirmary
Bristol - Frenchay Hospital
Bristol - Southmead Hospital
Cambridge - Addenbrooke's Hospital
Cardiff - University Hospital of Wales
Cardiff - Velindre Hospital
Coventry - University Hospitals Coventry and Warwickshire
Denbigshire - Glan Clwyd Hospital
Derby - Derby Royal Infirmary
Dublin - Beaumont Hospital
Dundee - Ninewells Hospital
Durham - Duke University Hospital
Edinburgh - Edinburgh Cancer Centre at Western General Hospital
Edinburgh - Western General Hospital
Exeter - The Royal Devon and Exeter Hospital
Glasgow - Queen Elizabeth Hospital
Glasgow - Southern General Hospital
Gloucester - Gloucestershire Royal
Hull - Hull Royal Infirmary
Ipswich - Ipswich Hospital
Leeds - Leeds Gamma Knife Centre
Leeds - Leeds General Infirmary
Leeds - St James's University Hospital
Leicester - Leicester Royal Infirmary
Lincoln - Lincoln County Hospital
Liverpool - Alder Hey Children's Hospital
Liverpool - The Clatterbridge Cancer Centre
Liverpool - The Walton Centre for Neurology and Neurosurgery
London - Barts and London Centre for Neurosciences
London - Bupa Cromwell Hospital
London - Charing Cross Hospital
London – Guy's Hospital
London - Hammersmith Hospital
London - Harley Street University College Hospital
London - King College Hospital
London - Lister Hospital
London - Moorfields Eye Hospital
London - National Hospital for Neurology and Neurosurgery
London - Royal Free Hospital
London - Royal London Hospital
London - Royal Marsden Hospital
London - St. George's Hospital
London - St. Mary’s Hospital
London - St. Thomas’ Hospital
London - The Cyber Knife Centre
London - University College Hospital
London - Wellington’s Hospital
Macclesfield - Macclesfield District General Hospital
Manchester - The Christie
Manchester - The Royal Manchester Children’s Hospital
Middlesbrough - James Cook University Hospital
Newcastle - Freeman Hospital
Newcastle - Royal Victoria Infirmary
Norwich - Norfolk and Norwich Hospital
Nottingham - Queens Medical Centre
Oxford - John Radcliffe Hospital
Plymouth - Derriford Hospital
Poole - Poole General Hospital
Preston - Royal Preston Hospital
Romford - Queen’s Hospital
Salford - Salford Royal Hospital
Sheffield - Royal Hallamshire Hospital
Southampton - Southampton General Hospital
Stoke - University Hospital of North Staffordshire
Sunderland - Sunderland Royal Hospital
Sutton - Royal Marsden Hospital
Swansea - Morriston Hospital of Swansea
Swansea - Singleton Hospital
Swindon - The Great Western Hospital Swindon
Taunton - Mugrove Park
Truro - The Royal Cornwall Hospital
West Sussex - Hurstwood Park
Wolverhampton - New Cross Hospital
York - The York Hospital
Unknown
Safeguarding
The services for 13-17 year olds, including the private Teenagers Instagram Account, are a place for you to share your thoughts, feelings and any questions you have. For this reason we will not usually share what is said in the groups or anything you talk to us about.
There may be times when we will decide to break confidentiality to keep you or another member of the group safe. We will do this if we are worried about you or someone else. We will always try and speak to you first, but we may not be able to. If we are very worried about you we may contact the emergency contact you give us in order to keep you safe.
To stay safe we ask that you do not share any personal information – such as your address, telephone number or bank information on Instagram or any other social media groups. Don’t forget that once you post something on social media it can be saved or shared by others.
Emergency contact details
Please note that we will need to get in touch with your emergency contact before we accept your follow request.
Title
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Mr
Ms
Miss
Mrs
Mx
Dr
Prof
Rev
First name
Last name
Email
Phone number
Phone type
Mobile
Home
Work
Relationship to you
They are my
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Parent
Step-parent
Grandparent
Aunt
Uncle
Legal Guardian
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