Beat SCAD - Update your details or preferences form
Please use this form to update your personal details and preferences for how you would like Beat SCAD to contact you.

Your personal information will be kept private and held securely. We will never share your details with anyone else.

We won’t send too many messages, emails or letters, and you can change your mind at any time by using this form.

Thank you

The Beat SCAD Trustees

Email address *
Your preferences
I am happy for my personal details to be used for Beat SCAD to
Please let us know how you would like to hear from us
Please give us a few details about yourself
Title *
First name *
Your answer
Surname *
Your answer
If you are providing a new name, please provide your previous name so we can match up our records
Your answer
Address
Your answer
If you are providing a new address, please provide your previous name so we can match up our records
Your answer
Home phone number
Your answer
If you have provided a new home phone number above, please provide your previous number so we can match up our records
Your answer
Mobile phone number
Your answer
If you have provided a new mobile phone number above, please provide your previous number so we can match up our records
Your answer
Work phone number
Your answer
If you have provided a new work phone number above, please provide your previous number so we can match up our records
Your answer
Are you a SCAD patient?
If you are a SCAD patient, please let us know if you would be happy for us to contact you for further information.
If you are NOT a SCAD patient, please tell us your relationship (if any) to a SCAD patient:
Your answer
We respect your privacy – for full details of our Website privacy policy see www.beatscad.org.uk/privacy-policy and our Data processing policy see www.beatscad.org.uk/what-we-do-with-your-personal-data *
Required
Thank you from the Beat SCAD Team
A copy of your responses will be emailed to the address you provided.
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