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To receive access to the symposium's PATIENT ADVOCATE resource portal, please insert your e-mail address and then answer this short questionnaire. Mandatory inputs are marked with a *.
Once the survey is completed, click on submit and a link that will allow access to the symposium resources will be sent to the e-mail address you provide.

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I am involved with patients as:

Support group leader
Hospital-based patient services
Educational services provider
Community service organization
Patient advocacy organization

What services do you provide to the patient:

Education
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Financial Support
Diagnostic or treament access
Management or side effects

Do you provide information on clinical trials:

Yes
No

What type of communication vehicles do you mostly use:

Printed media
Website
PodCast
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