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	User Involvement Project

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Share your Story

You can share your story anonymously, any time of day or night.

(Please complete all the fields marked with an asterisk)

This is my story*:
This is what I think could be done to improve palliative and end of life care*:
Important Information	NCPC may use the information that you provide in its future work, but we will ensure that it remains anonymous. Examples of this might include using anonymised extracts from your story in our publications or in presentations. NCPC will never give your personal details to a third party or publish them in any other way. If you have any concerns or queries about this, please contact Jo Black on j.black@ncpc.org.uk Unfortunately NCPC is unable to give advice or comment on individual cases, but any information submitted will be used to help us better understand peoples' palliative and end of life care needs.
Confirm*:	Please tick here to confirm that you have read and understood this information.

If you, or someone you know, would rather fill in the form by hand and send it back, the form can be downloaded from here. (98KB ) Simply download it, print off and return to NCPC's address

If you would like to get involved in NCPC's work, please fill in our online form by clicking here. Alternatively, click here for more details.