BCIRostomy.com - Next Seminar (main)

The Continent Ostomy Center at Palms of Pasadena Hospital, travels around the country to inform patients about the Barnett Continent Intestinal Reservoir. At our seminars, we have BCIR representatives - sometimes one of our surgeons - and other BCIR patients available to answer your questions.

Specifics for our next seminar are:

Date:        TBA
Speaker:  TBA
Location:  TBA

If you have received an invitation or seen one of our location announcements and would like to register online to attend our next seminar, please fill out the form below and hit the 'Submit' button when you are finished. (Any information will be held in strict confidence.)

If you have any questions about our upcoming seminars, please e-mail Susan Kay or call her at 1-866-438-7330. Don't forget to ask her to send you a free video or CD about the BCIR procedure. Thank you, and we look forward to meeting you soon.

(Items in color are required.)

Name:
Address:
City:
State:
Zip Code:

Age:
Sex:	Male Female

Phone:
Best time to call:
E-mail:

My present physical condition:*

Ulcerative Colitis
Brooke Ileostomy
IPAA (J-Pouch)
Kock Pouch
Familial Polyposis
Other

How did you learn about the BCIR? (Check all that apply)

Magazine advertising
Radio announcement
On the Internet (Ostomy sites, news groups, etc.)
New BCIR Web site (via an Internet Search Engine)
Word of mouth (Ostomy group, doctor, etc.)

Please send me more information about the BCIR

* Those with Crohn's disease or a colostomy are not candidates for a BCIR.