HeadSmart Resources Request
Please complete both pages of this form, save it
and email it to info@headsmart.org.uk.
For administration purposes only
Date requested:
Requested by (initials):
Date posted:
Sent by (initials):
Postage (if relevant): £
Parcel weight:
Notes:
Recipient’s email:
Recipient’s tel:
Send to:
Please fill in quantities in the grey boxes. If you have any queries about an item, please email us.
Education Pack - introduces HeadSmart and symptoms cards to educational establishments (e.g. schools/ colleges/
1
nurseries/ children’s centres).
letter Ref: HS-LS to go on top inside the pack.
1
smart phone app poster
1
“Say Goodnight to Brain Tumours” leaflet
10
1
letter Ref: HS-LP - introduces HeadSmart and
symptoms cards to parents. Designed for the
educational establishment to copy onto their own
headed paper to be signed by Head/Principal etc.
symptoms cards
1
symptoms card holder
2
HeadSmart posters
1
“Diagnosed with?” leaflet
1
“The Brain Tumour Charity” leaflet
1
latest edition of Grey Matters
Health Professional’s Pack - introduces HeadSmart and symptoms cards to health professionals (e.g. GP surgeries,
hospitals, health visitors).
letter Ref: HS-LHP to go on top inside the pack.
1
smart phone app poster
symptoms cards
1
symptoms card holder
2
HeadSmart posters
1
The Diagnosis of Brain Tumour in Children
2
e-learning module flyers
5
“Diagnosed with?” leaflet
1
“The Brain Tumour Charity” leaflet
1
latest edition of Grey Matters
2
HeadSmart leaflets
1
10
Generic Pack - introduces HeadSmart and symptoms cards to any non-educational or non- health establishments, e.g.
1
businesses, councils
letter Ref: HS-GL to go on top inside the pack.
1
smart phone app poster
10
symptoms cards
1
symptoms card holder
2
HeadSmart posters
1
“Diagnosed with?” leaflet
1
“The Brain Tumour Charity” leaflet
1
latest edition of Grey Matters
The Grey Matters Newsletter – The Brain Tumour Charity’s 3 times yearly magazine
Symptoms cards
100 cards = 2.8cm
Symptoms card holder
flat-packed
Poster
A4
Leaflet
A5 - for Health Professionals
Quick Reference Guide
The Diagnosis of Brain Tumours in Children - for Health Professionals
E-Learning Module Flyer
A5 - for Health Professionals
Smart Phone App Poster
A4 - 81400
Stickers sheet
A4
1 Fundraising pack
Pin badges
£1 each, where sold
Pin badge leaflets
Lanyards
£1 each, where sold
Pens
£0.50 each, where sold
PTO
It’s extremely helpful for us to know where our HeadSmart Packs are being distributed so that we can minimise
duplication so please complete this part of the form.
Please select the type
of Pack from the drop
down list
Please add the name and address of the
organisation, school, nursery, shop, doctors’
surgery or hospital.
Please tell us how many
pupils in the school or
nursery. We would send
you one symptom card per
pupil.
1.
2.
3.
4.
5.
Please add any other information you think we may need or anything else you would like to tell us.
Once you have completed the form, save it and email it to info@headsmart.org.uk.