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If you are living with cancer, please share as much information as possible with us, so that we can help you.

If you're a carer or a health and social care professional, completing the form on behalf of someone affected by cancer, please tell us about them and ensure you have their permission to share their details with us.

Can we leave a voicemail?
We may call at a time that's not convenient for you. If that's the case, we would like to leave a voicemail to acknowledge your request to talk about our services
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Tell us about your cancer experience *
If you're living with cancer, please share your diagnosis with us, details on how we can help you and if you have any communication needs we should be aware of
If you're referring someone affected by cancer, please let us know who you are (first name, surname, phone number and email address), details on how we can help the person you're referring to us and if there are any communication needs we should be aware of

If you or someone you love has been affected by cancer, our free Support Line is there for you. Just call 0808 808 1010