Register your interest in local forums
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1. Default Section

Please use this form to register your interest in MPD patients' forums in your area (UK only).

1. We are currently organising forums for 2010 in the following areas. Please check your area to register your interest. Please be sure to add your email address or phone number so that we may contact you with the date.

We are currently organising forums for 2010 in the following areas. Please check your area to register your interest. Please be sure to add your email address or phone number so that we may contact you with the date. Scotland (organised by an NHS Scotland haematologist with the assistance of MPD Support)

Newcastle

Hull and surrounding areas

Please tell us your name and email address or tel number so that we may contact you with the forum date

2. If you are in a different area of the UK and you are interested in a forum close to you, please tell us where you are (postcode and closest major city or town to you).

If you are in a different area of the UK and you are interested in a forum close to you, please tell us where you are (postcode and closest major city or town to you).

3. Optional: please give us the name of your haematologist and hospital where you are treated for your MPD. We will use this information to inform your haematologist about upcoming forums.

Optional: please give us the name of your haematologist and hospital where you are treated for your MPD. We will use this information to inform your haematologist about upcoming forums.

4. We could use your help in getting the word out about the forum in your area. Please check any and all ways in which you might be able to volunteer.

We could use your help in getting the word out about the forum in your area. Please check any and all ways in which you might be able to volunteer. I would be happy to put up posters in the outpatient clinic I attend

I can ask my haematologist to host a forum

I can host a small gathering of patients, family and medical professionals in my home or in a local coffee shop or similar location

I can do something else (please describe):

5. Please enter your email and/or phone number (if you haven't already done so above).

Please enter your email and/or phone number (if you haven't already done so above).

If you have any questions or suggestions, please feel free to contact us by emailing us at info@mpd-support.co.uk, and thank you!