Hospital Magazine Order Form

If you are member of staff or a volunteer within the hospital and would like to place an order for some of our magazines to be delivered to you, please complete the form below. We’ll get them to you as soon as we possibly can.

Name *

Hospital Site Name *

Ward/Department Name *

Do you already have a display stand? *

• Yes
• No

These are cardboard (if we've provided them) or, if you have a plastic display stand for A5-size leaflets spare, we are more than happy to fill this for you

Do you have space to keep spare copies? *

• Yes
• No

We know space is at a premium, but it's always really helpful if you can hold a few more copies so that we can reduce the number of visits to your ward/department!

Would you like one of our posters (above) for a noticeboard? *

• Yes
• No

If so, we can bring one along with us. If you have access to a colour printer and want to print one yourself, please click on the image above to download a PDF. Please also select 'Yes' if you have one that needs replacing.

Please could you tell us what times we can deliver?

For example, we don't want to visit when patients can't be disturbed, such as mealtimes. If you leave this section blank, we will do our best to deliver the magazines at a reasonable time.

Submit