Basic Information |
THANK YOU for your interest in the Neuro-Oncology Survivor's Peer Support program. This is a program by and for brain tumor survivors. You do not need to be a UCSF patient to participate in our program. All brain cancer survivors are welcome.
Completing this form allows us to match you as best as possible. It also gives us permission to share some aspects of your situation and contact information with your match.
Role of the volunteer: Trained volunteers are available to share their experiences and to listen to patients in confidence. While volunteers might offer emotional support and practical suggestions, please note that this program is not intended to provide therapy, nor is this intended to offer medical advice. It is important to keep in mind that what might work for a person may not work the same for another. Please be sure to let your neuro-oncologist know if you are considering any changes that might affect your cancer treatment.
Scope of the program: While the program is designed to provide you with one in-depth conversation over the phone, you and your match might mutually agree to speak again or meet in person. Follow up connections are entirely your choice but beyond the scope of the Neuro-Oncology Survivor's Peer Support Program.
Please note: You can take as long as you need to fill out this request, but the request must remain open in this window until you have submitted it. If you leave this page, you cannot return to your work bu using the back button or going to your history. This is to protect your privacy. Please do not close this window, refres this window,or go to another website in this window until you have signed the consent and clicked "submit" on the final screen.
If you realize later that you have changes or additions, please send us an email or call us at 415-514-3421, we will be happy to help you. Thank you.