Become a member

Welcome to our supportive community!

By completing this form you are agreeing to become a member of Ovacome. Ovacome will only contact you in the ways that you consent to on this form. All of the personal information you share will be treated confidentially and will not be shared with third parties.

If you need help completing this form, please call 020 7299 6654.

About you

Address building name/number and street *

How did you first hear about Ovacome? *

Who are you? Please tick all that apply. *

I have or had ovarian cancer
I am the partner of someone diagnosed with ovarian cancer
I am the family member of someone diagnosed with ovarian cancer
I am the friend of someone diagnosed with ovarian cancer
I have a BRCA gene alteration
I have Lynch syndrome
I am a cancer care professional
Other

If you have selected 'other', please specify:

If you are a cancer care professional, please detail (job title, place of work):

If you have been diagnosed with ovarian cancer, is there anything about your treatment or medical history that you would like to tell us?

We provide support and information to anyone affected by ovarian cancer. Do you have any questions for our team? (We will reply by email)

Would you be interested in sharing your story with Ovacome? If yes, we will email you about this.

Yes
No

Communication preferences

Please indicate below how you would like to receive communications from Ovacome. Please tick 'by post' as one of your options if you want to receive a hard copy of the Ovacome magazine three times a year, otherwise we can send you an electronic copy by email. You can choose as many communications preference options as you like.

If you are registering as a cancer care professional member and have provided a telephone number, you will receive an initial phone call from a member of our support team to discuss how we can best support you and your patients moving forwards. For all other communication your preferred method(s) of contact will be used.

How would you like to receive communications from Ovacome? (select all that apply) *

By post (UK only, including NI) Please note: if you wish to receive a hard copy of the magazine please tick this box
By email
By telephone

If you have selected ’by post’ and would like to receive more than one copy of the magazine, to
distribute to cancer centres, hospitals, or friends, please contact us on 0800 008 7054.

The following questions are optional. We collect this information to ensure that we are reaching all those affected by ovarian cancer.

If you have selected 'in another way', please describe:

Which of the following options best describes how you think of yourself?

Woman (including trans woman)
Man (including trans man)
Non-binary
In another way

If you have selected 'in another way', how would you describe yourself?

Which of the following options best describes how you think of yourself?

Heterosexual or straight
Gay or lesbian
Bisexual
I don't know/I'm not sure
In another way

If you have selected 'in another way', how would you describe yourself?

Do you consider yourself to be a disabled person?