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Contact Us


General email:

info@diabetes-stourbridgeanddudley.com

General contact number:

Group mobile: 07985 788123
(leave a message- we will call you back)


Current contact address:

Diabetes UK - Stourbridge, Dudley & District Voluntary Group
c/o 36 Ferndale Park
Pedmore
Stourbridge
West Midlands
DY9 0RB

If you would like to receive information on forthcoming events, as well as our newsletter 'Testing Times' and other relevant information, we will need to add your details to our Contacts Database. Please complete and submit the online form below, or use this link to download a copy and send it to the address above. Thank you.
Fields marked with * are essential

Registration Form

Section 1

Complete this section if you are an adult with diabetes, or you are caring for someone with diabetes
Your name: *
Address: *
Postcode: *
Telephone: *
Email address: *

Section 2

Complete this section if the person with diabetes is under 18 (or over 18 and in your care)
Child's name:
Child's DOB (dd/mm/yyyy):
Current pre-school, school or college:
Your relationship to child:

Section 3

Everyone should complete this section
Type of diabetes?*
Date diagnosed
(dd/mm/yyyy):		 *
Treated by:
(e.g Diet / Diet and Tablets / Insulin Dependant)		 *
Other medical conditions:
Terms and Conditions*

 

Disclaimer

The information presented on this site is for general use only and is not intended to provide personal medical advice or substitute for the advice of your physician.
If you have questions or concerns about individual health matters or the management of your diabetes, please consult your diabetes care team.
Products highlighted on this website are not necessarily endorsed by Diabetes UK.”