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Welcome to BMT InfoNet’s Mailing List. Please complete the form below to receive timely, important information about bone marrow, stem cell and cord blood transplantation

Type of Individual *

Please select the type of individual that best describes you.

Transplant Patient/Survivor/ Family / Friend

Transplant Center Staff

Medical Personnel/Not Transplant Staff

Advocacy - Staff

Pharma/Med Supply Staff

Insurance Personnel

Other Organizations - Staff

First Name *

Last Name *

Email - Home *

Email - Work *

Your Relationship to Patient

Transplant Info

Please select the disease from the drop down

Date of most recent transplant or expected transplant date

Month

Day

Year

Transplant Type (MRT)

Organization and Title

If you are part of an organization please tell us the name of the organization and your position

Health Status Post Transplant

Current Health Status

Please share any information on survivor's current health status

Did you have Graft-versus-Host Disease (GVHD)

Do you currently have GVHD?

The Severity of GVHD

GVHD Organs

Select all organs GVHD is or has affected

Notes about yourself

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Caregiver's Role

Children and Transplant

Graft vs. Host Disease