I Want to Connect with an LGS Family Ambassador or Patient Navigator
By submitting this secure online request, I agree that the information I have provided for myself or my child may be used by the LGS Foundation and the LGS Patient Navigator or Family Ambassador solely for my participation in the Patient Navigator and Family Ambassador Program. I understand that the Navigator/Ambassador who I will connect with is a volunteer for the LGS Foundation and their opinions and comments reflect their personal experience in the diagnosis, testing, and treatments. They are not necessarily the views of the Foundation or medical professionals. I certify that I am 18 years or older. I may revoke this consent by contacting the LGS Foundation at info@lgsfoundation.org.

Thank you for entrusting the LGS Foundation with your information. We only collect information you choose to give us and process it with your consent. We only require the minimum amount of personal information that is necessary to fulfill the purpose of your interactions with us. Our goal is to help families living with LGS and we never sell your data to third parties.

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