Personal oncology case
manager services


                       

To appoint a person to act on your behalf, please complete the following steps:


For your security and under General Data Protection Regulation (GDPR) we require your consent to discuss and disclose personal and medical data with the designated person on your behalf. To do so, please download and complete the consent form at the link below :

1a)  Download consent form

1b)  Click here to attach and return your completed consent form


Please complete the form below:
Our Data Protection Notice explains how we protect your privacy; it's an important document as it outlines how we will process your personal data. You should take a moment to read it before you submit any personal data to us.