BCIR - Barnett Continent Intestinal Reservoir

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Contact Us

We would like to hear from you! If you have any questions, comments, or concerns about our hospital, our program, the surgeons, or the treatment options available to you, please fill out the form below. We will reply to you as soon as possible.

Don't forget to ask for the free CD about the BCIR procedure. Also, we'll be happy to supply you with a list of patient contact information as we feel this is the best source of information.

Please visit our message board, open 24/7, and we hope that you can participate in our "live" chat session which meets on the first Tuesday of every month.


Any information you submit will be held in the strictest confidence in accordance with our privacy policy. You are also welcome to email us or call us at 1-800-336-0789 and speak with Susan Kay, R.N.

(Items in RED are required.)

Name:
E-mail:
Address:
City:
State:
Zip Code:
 
Phone:
Best time to call:
 
Age:
Sex: Male   Female
 
I am RSVPing for the following seminar:
(Click above to view seminar dates)
Date:
Location:
 
My present physical conditions:
BCIR
Ileostomy
Kock Pouch
J-Pouch/S-Pouch/IPPA
Colostomy*
* (You usually are not a candidate.)
Crohn's Disease*
* (You usually are not a candidate.)
Ulcerative Colitis (medically unresponsive)
Familial Polyposis (FP)
Cancer (specify location):
Other (please specify):
 
How I learned about the BCIR:
Magazine Advertising
Radio Announcement
Billboard Advertising
Newspaper Advertising
TV (Broadcast)
TV (Cable)
Facebook
Google
Other Internet Source
Word of mouth
 
Other comments, questions, or concerns:
 
 

You can contact Susan Kay via e-mail:
susan.kay@bcir.com

Or, if you prefer - give her a ring at:
1-800-336-0789
Fax: 1-727-341-7058

Our mailing address is:

BCIR/The Continent Ostomy Center
Palms of Pasadena Hospital
1501 Pasadena Avenue South
St. Petersburg, Florida 33707