Patti Robinson Kaufmann First Connection Program
Online Request Form

Please note, requests can only be accommodated for individuals who live in the US or Canada.
With which race(s) do you identify? (Select all that apply) *
Do you identify as Hispanic, Latino or Spanish origin? *
Please specify your gender. *
Have you ever served on active duty in the U.S. Armed Forces, Military Reserves, or National Guard? *

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The Leukemia & Lymphoma Society (LLS) is the world's largest voluntary health organization dedicated to funding blood cancer research, education, and patient services. LLS's mission: Cure leukemia, lymphoma, Hodgkin's disease and myeloma, and improve the quality of life of patients and their families.
Need Help? Contact us
(800) 955-4572

For general information about LLS First Connection program and other support resources, please visit: or