The Gateway Chapter
77 West Port Plaza, Suite 480 | St. Louis, MO 63146 | (314) 590-2239

Patti Robinson Kaufmann First Connection Program

If you wish to speak to a First Connection peer volunteer, please fill our the request form below.
Please note that it can take up to a week to fulfill a First Connection request.

* First Name

* Last Name

* Street Address

Address Line 2

* City

* State/Province/Region

* Zip/Postal Code

* Phone Number

* Email Address

Best Time/Way to Reach Me

Disease Interested In

Explain Other

Date of Diagnosis

Relationship to the Patient

Comments

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* Indicates Response Required