Apply to receive Member2Member support Coeliac UK's Member2Member peer support service taps into the knowledge and experience of members living gluten free, offering those new to the diet an extra level of one to one support. We link members with volunteers who have been in a similar situation to share their experiences, stories, tips and recommendations. Support is available to all members including parents or carers of people living gluten free due to coeliac disease or another medical condition. To understand how your personal data will be handled please read our privacy notice. Member2Member provides: Personal contact with a specially selected volunteer A friendly voice A chance to exchange experiences by phone, email or video A chance to build your confidence living gluten free An opportunity to use the service as much or as little as your like. Your details Name Membership number Address Telephone number Email address Best contact times Tick if you are a current student Student Place of study Support Who is the person(s) requiring support from the Member2Member volunteer?* Myself My partner/spouse My child/children Someone I care for Other Their details (if different from above) Please fill in this section if you are seeking support for other person. Name Date of birth Permission Please tick if you would like to be matched with a Member2Member volunteer to help facilitate a discussion between members under the age of 16 Declaration Please tick* I consent to Coeliac UK using the information I have provided in this application form, including medical information, to match me with a Member2Member volunteer. Additional information Please fill out this section to help Coeliac UK find the best matches for you. Why do you require support from a Member2Member volunteer? Do you need support from a Member2Member volunteer with experience of any of the following medical conditions? Anaemia Dermatitis herpetiformis Diabetes Irritable bowel syndrome Lactose intolerance Osteoporosis Thyroid disease Other medical conditions Do you need support from a Member2Member volunteer experienced with managing any of the following diets? Lactose free Nut free Vegan Vegetarian Other diets Do you need support from a Member2Member volunteer in dealing with the following? Cooking at home* Yes No Cross contamination* Yes No Eating out* Yes No Raising awareness in schools* Yes No Shopping* Yes No Travelling in the UK* Yes No Travelling overseas* Yes No Verification Click the box Please click the box to indicate you are a human rather than an automated system completing this form. Last step Thank you for requesting support from one of our volunteers. Someone from the Member2Member team will be in touch with you as soon as they can. Print page Add to My Favourites