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? *

0/255 characters

Are you a Healthcare Professional making the referral? *

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 blood cancer and improve the quality of life of all patients and their families.
 
Need Help? Contact us
infocenter@lls.org
(800) 955-4572

For general information about LLS First Connection program and other support resources, please visit: https://www.lls.org/support-resources/peer-peer-support or https://www.lls.org/support-resources