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Counselling for Women with Metastatic Breast Cancer using Whats App
 
Women with Metastatic Breast Cancer need to know that there is much that can be done to deal with the physical symptoms, psychological and spiritual distress they are facing. Whats App Counseling invites you to become a part of a group that is carefully chosen to best meet your unique needs. Each group is led by a doctor who will be available to answer any questions you may have. A qualified counselor will send you messages with ideas on how to deal with every day problems. And you can share your specific problems with them and with other women in similar situations. Since the communication on the Whats App group will be predominantly in English, you should be comfortable doing the same. 

 Fill in a simple form below to enrol yourself free to join this group, if you fulfill all the above-mentioned criteria.
 Email webmaster@cancer.org.in to know more

Personal Details

 
* Name:    
* Date of Birth: Date:    Month:    Year:   
* Contact Whats App number: +91   |  Email:
* City of Residence : City : , India
First Language:     Religion:
Education: School Graduate  Post Graduate
Employment: Never Worked Unable to work Retired Currently Working 
Relationship Status:   |  Number of children:
Financial Status : per annum

Medical details

 
First Diagnosis: Stage:
Hospital of treatment: , City:
Treatment: Surgery Chemotherapy Radiation Hormone Therapy | Others:
Recurrence (if any):  
Do you current experience the following ?: Depression & Anxiety Pain Sleeplessness | Others:


* marked fields are mandatory