Register for a Living with Secondary Breast Cancer in person group

You are registering for Living with Secondary Breast Cancer - York, UK on 11am on the third Monday of each month

Thank you for taking the time to register for our Living with Secondary Breast Cancer face to face meetings.

We’re committed to providing people affected by breast cancer with the highest quality services and we need to have some information about you to make sure that this is the right service for you, meet any particular needs you may have and manage our relationship with you sensitively and appropriately.

We will use the information you provide in the way we’ve outlined above and (where relevant) in the ways we’ve outlined in the sections below. If you provide details about your health or other sensitive information, we will use it in the same way. If you no longer want us to use your information in these ways, you can get in touch using the contact details at the end of this form to discuss withdrawing your permission.

We will also use this information to provide our service and look at who attends, helping to make sure that our services are accessible to everyone and identifying any areas where we may need to improve. You will receive evaluation surveys to assist us in doing this.  Thank you so much for helping us.

Agreement
About you
Can we say we are from Breast Cancer Now if someone else answers the phone?
Can we leave a voicemail message if there is no answer?

We know that it can feel a little daunting attending a meeting for the first time

You might have some questions about what the meetings are like and what people talk about in them. You might find it helpful to speak to our counsellor that facilitates these meetings before you attend for the first time. This will be a short phone call, an opportunity for the counsellor to introduce themselves and for you to ask any questions you may have.

Would you like to receive a phone call from the counsellor?
Your address
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About your diagnosis

The Living with secondary breast cancer service is for people with a diagnosis of secondary breast cancer.

Secondary breast cancer is breast cancer that has spread beyond the breast and lymph nodes under the arm, to other parts of the body such as the bones, lungs, liver, or brain. It may also be referred to as metastases, advanced breast cancer, secondaries, or stage 4 breast cancer.

Support
Access Fund

Our services are always free, but we know that using one of our services might still cost you money such as travel costs. We’re committed to supporting everyone affected by breast cancer to live well, and may be able to help if you need help covering the costs of using our services.

Online services

The event you are registering for is happening face-to-face, but we also offer online services for people living with secondary breast cancer. Please let us know if you would also like to register for them.

I would also like to register for:
Other updates from Breast Cancer Now

We’d like to send you updates on our research, the support we provide, breast health information and our wider work to achieve our aims. We’d also like to tell you ways you can help us further, including by donating, fundraising, campaigning and volunteering. If you already hear from us, we will continue to contact you in the same way.

If you haven’t heard from us before now, please tick the box to show that you are happy to be contacted by:

How we use your information

From time to time, we may contact you by telephone and post about Breast Cancer Now, to keep you updated on our work and ways you can help. You can change the way you hear from us at any time by emailing us at supporterengagement@breastcancernow.org or calling us on 0333 20 70 300.

To help us to work more efficiently, we may analyse your information to make sure you receive the most relevant communications, and to target our digital advertising. This may include using publicly available information. You can ask us to stop this at any time, by contacting us using the above contact details. You can read more about how we will use your information in our Privacy policy.

Equality and diversity monitoring

Breast Cancer Now is committed to equality of opportunity for all. The following questions are not compulsory, but by giving us this information we can better meet our service users’ needs and make our services as accessible as possible.

Do you consider yourself to be disabled?

Everyone affected by breast cancer can turn to us for support. So, we want to make sure that no one faces any barriers when using our services.

If you’re disabled and would like to use one of our services, we’ll do everything we can to make sure they’re accessible to you. Find out how we make our services accessible.