Your email address*
Your phone number
Please tell us why you have contacted the Helpline (up to 50 characters)
Is there anything else you would like to add that will enable our nurses to support you?
Please tell us your age (it is helpful to the nurses when handling your enquiry)
12 Or Younger
70 Or Older
Ethnicity - melanoma is not isolated to fair skin and this information is useful for the charity to ensure we are providing a service for everyone)
Mixed Ethnic Groups
Prefer not to say
Region - we ask this, both for the charities purposes as well as for the nurse dealing with your enquiry. Knowing the region may help offer locational signposting if required.
East of England
Yorks & Humber
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