How do I join?

Registration form

You need to register to join the club. Please note that membership is ONLY open to residents of the UK.

We will hold your details on a database and send to you by post information and advice on different aspects of living with inflammatory bowel disease.

We have produced a series of 35 leaflets - in six sections - which cover all aspects of inflammatory bowel disease. There are also 6 "top-tip" postcards. These leaflets and postcards can be ordered by completing the following form. They can also be downloaded in Acrobat pdf format from the leaflets page of this website.

Please note, all elements of Section A of the form need to be completed before it can be submitted. Thank you.

*To register with the ibd club, please complete and submit this form:*

Section A

I agree that Ferring holds my personal details in a computer database for the purpose of creating an IBD Club and to support me with information on IBD and its treatment. My personal data will not be forwarded to third parties. The UK Data Protection Act will be applicable to this computer database

Please note that membership is ONLY open to residents of the UK.
Full Name:
Address:
Address (cont):
Town:
Postcode:
Email (if applicable):

*Please indicate whether you are a patient or a carer:*
patient	carer

*If you are a patient, please indicate which condition you have:*
ulcerative colitis	Crohn's disease

*Are you:*
male	or female

Please give your age:	years

Where did you hear about the club?


Section B

*Please indicate which of the following leaflets you would like to receive:*

Introduction
1. What is IBD?
2. What is Crohn's disease?
3. What is ulcerative colitis?
4. The IBD nurse
5. Glossary

Treatments
6. Drug treatments
7. Living with IBD
8. Surgery and IBD

Investigations
9. Investigations - general overview
10. Causes
11. Genetics and IBD
12. Complications
13. Extra-intestinal manifestations of IBD
14. Colorectal cancer and IBD
15. Osteoporosis and IBD

Symptoms
16. Symptoms
17. From diagnosis to prognosis

Keeping well
18. Maintaining remission
19. Preventing flare-ups/useful tips
20. Managing a flare-up
21. When to call the doctor/nurse
22. Family and carer advice
23. IBD in children and adolescents

Lifestyle selection
24. Diet and IBD
25. Stress and IBD
26. Smoking and IBD
27. Fertility, women and IBD - fertility, pregnancy, osteoporosis
28. Holidays, travel and IBD
29. Oral contraceptives and IBD
21. Employment and IBD
31. Insurance and IBD
32. General hygiene and IBD
33. Sport, exercise and IBD
34. Alternative medicines/treatments
35. Relationships, sex and IBD

Postcards
Please tick this box if you would like to receive a set of postcards.

Please tick this box if you do not wish to receive any further information from the ibd club.

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