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JDRF, the type 1 diabetes charity•Forms•Information and leaflet request form

Information and leaflet request form

Please tell us what information you would like to receive. If you cannot find what you are looking for then please contact us on 020 7713 2030 or email info@jdrf.org.uk.

I would like a newly diagnosed pack
- Select and choose your preference below
The packs will include the information leaflets outlined below.
- KIDSAC - for children and parents (SKU: JDRF-KIT-002))
- Adult Type 1 Toolkit (SKU: JDRF-KIT-004)
I would like a Straight to the Point book
- Straight to the Point book (SKU: JDRF-KIT-007)
Information book and leaflets
Please select as many leaflets as you require
- Finding the Cure - About JDRF (DL) (SKU: JDRF-004)
- About JDRF (A5) (SKU: JDRF-003)
- Pocket guide - Understanding type 1 (youth) (SKU: JDRF-035)
- Pocket guide - Understanding type 1 (adult) (SKU: JDRF-008)
- T1 Teens - What Friends Need to Know (A5) (SKU: JDRF-061)
- Type 1 diabetes - A new diagnosis in the family (A5) (SKU: JDRF-059)
- Type 1 diabetes - Your new diagnosis (A5) (SKU: JDRF-060)
- School Pack (A5) (SKU: JDRF-002)
- School Pack Flyer (A5) (SKU: JDRF-001)
- Signs and Symptoms Poster (A4) (SKU: JDRF-014)
Downloads
You will receive an email with the downloads.
- Pregnancy Toolkit (e-download)
- Type 1 Technology - A guide for young people and families
- Type 1 Technology - A guide for adults
- University Toolkit flyer
- Schools e-learning module flyer
- School Pack e-download
- School Pack Flyer e-download
- School Thank You Certificate e-download
- Step-by-Step Guide to Insulin Pump Access
- Access to Flash Glucose Monitoring
- Access to CGM
Your details
Name
Title First Last
Address line 1*
Address line 2
City / Town*
County
Country*
WE REGRET WE CANNOT SHIP PRINTED MATERIALS OUTSIDE OF THE UK
Postcode*
Telephone / mobile number
Email*
Enter Email Confirm Email
Date of birth (dd/mm/yyyy)
Date Format: DD slash MM slash YYYY
What is your connection to type 1 diabetes?*
I am happy for you to securely store this information about me
- Yes
- No
If other, please specify
How did you hear about us?*
If other, please specify
Keep in touch
We'd love to keep you updated about our work to cure, treat and prevent type 1 diabetes, and how we support people with type 1. We'd also like to let you know how you can help by donating, volunteering or campaigning.

We may stay in touch by post or phone if we have those details from you, but it keeps our costs down if we can use email, meaning that we can invest more money in ground breaking type 1 research.

Please let us know if you're happy for us to contact you by email:
Required field*
- Yes, I am happy for JDRF to contact me by email
- No, I don't want to receive emails from JDRF
To change how we contact you, or to stop all contact from us, please phone 020 7713 2030 and ask for Supporter Care, or email info@jdrf.org.uk
Privacy policy

Your privacy is important to us. Please read our privacy policy.

Our supporter promise
We promise that we will treat you and your personal information with the utmost care and respect. Please read our supporter promise.

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Help us create a world without type 1 diabetes

JDRF, the type 1 diabetes charity

We fund research to cure, treat and prevent type 1. We work with government, academia and industry to accelerate research in the UK and within healthcare policy to ensure that the outcomes of research are delivered to people with type 1 in the UK. And we give support and a voice to people with type 1 and their families. Join us in creating a world without type 1 diabetes.

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JDRF

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Copyright © 2018 | Juvenile Diabetes Research Foundation Ltd (JDRF) is a charity registered in England and Wales (No. 295716) and in Scotland (No. SC040123). Registered address: 17/18 Angel Gate, City Road, London EC1V 2PT. Tel: 020 7713 2030. Registered as a company limited by guarantee, in England and Wales (No 2071638). INPUT is a charity registered in England and Wales (No. 1150609) and a registered company limited by guarantee (No. 08289511).

Keep up to date with the latest type 1 diabetes research, news and events from JDRF.

To sign up, simply complete your details below and click subscribe.

Email*

First name*

Last name*

Your connection to type 1

Telephone

I am happy for you to securely store this information about me

Yes

No

Please let us know which region you are based in so we can keep you informed of events in your area.

Scotland

East

London

Midlands

North West

North East

Yorkshire, Humber and Anglia

South

South West

Wales

Northern Ireland

Keep in touch

We'd love to keep you updated about our work to cure, treat and prevent type 1 diabetes, and how we support people with type 1. We'd also like to let you know how you can help by donating, volunteering or campaigning.

We may stay in touch by post or phone if we have those details from you, but it keeps our costs down if we can use email, meaning that we can invest more money in ground breaking type 1 research.

Please let us know if you're happy for us to contact you by email:

Yes, I am happy for JDRF to contact me by email

No, I don't want to receive emails from JDRF

To change how we contact you, or to stop all contact from us, please phone 020 7713 2030 and ask for Supporter Care, or email info@jdrf.org.uk

Privacy policy

Your privacy is important to us. Please read our privacy policy.

Our supporter promise

We promise that we will treat you and your personal information with the utmost care and respect.Please read our supporter promise.