Sickle Cell Anemia Patient/Carrier Intake Form

The Sickle Cell Anemia Foundation of Oregon, Inc., is a 501(c)(3) non profit corporation. We are working with the national Sickle Cell Anemia Association to build bridges to sickle cell patients and carriers in Oregon, Washington, Idaho and Alaska. The GET CONNECTED program provides information about new treatments, therapies and advocacy initiatives, as well as information about how to participate in research studies. If you or a family member has sickle cell disease or is a sickle cell carrier -- or if you are interested in finding out about free testing and diagnosis -- please fill out the form below. Your information will be kept confidential.
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