Castleman Warrior Sign-up Form
Thanks for signing up to become a Castleman Warrior! Together, we will beat this disease!
First Name *
Your answer
Last Name *
Your answer
Birth Date *
Gender *
E-mail Address *
Your answer
Phone #
Your answer
What is your relationship to Castleman disease? *
Which variant of Castleman disease do you or your loved one have? *
What are you interested in learning more about as a Castleman Warrior?
Check all that interest you.
We have recently launched a program to help new patients/loved ones adjust to their or their loved one's new diagnosis by connecting them with "experienced" Castleman disease patients/loved ones they can speak with. Would you be interested in being a part of this program as an "experienced" Castleman disease patient/loved one? *
Do you have any questions for us or any information that you would like for us to know?
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