How to request a Chemogiftbag

Would you like to request a Chemogiftbag for you or a loved one?

Please complete the attached pro-forma and once we have received your request we will contact you. Our Ambassador for your area will agree a date and time to meet, usually before your hospital appointment.

We ask that you arrive approximately 15 minutes before your appointment and have your mobile phone with you and turned on.

Please note:

If for any reason you need to cancel or change your meeting with our Ambassador, please call them as soon as you can.  Another meeting can be arranged for you.

Apply for a Chemogiftbag

Please complete the whole pro-forma.

Before you do this, you must make sure that the recipient of the bag, if not you, has given their permission for you to provide us with their details so that our Ambassador can contact them to arrange receipt of a Chemogiftbag.