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Histiocytic Disorders Follow-Up Study Survey
One form per patient is requested. We hope to receive one survey for each patient. If a patient is deceased, we ask that as next of kin, you complete the following form using your contact information.
*Please submit this form even if you are choosing not to participate in the study!*
The information you provide about your disease experience will increase knowledge about the healthcare needs of patients diagnosed with histiocytic disorders.
Thank you for your help!
Thank you for participating in this survey. Your support is appreciated!
If you have elected to have the UAB team contact you, a member of their team will contact you via your preferred method of contact within the next 3 to 6 weeks.
If you requested that the ECDGA team contact you for more information, a member of our team will contact you via your preferred method of contact within the next 3 to 6 weeks.
If you elected to not participate, there is no further action.
Sincerely,
Belinda Cobb
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