Language Undefined Registration For: CAR T-cells in Non-Hodgkin Lymphoma, A Hopeful Option Thursday, January 13, 2022 6:00 pm Eastern, 5:00 pm Central, 4:00 pm Mountain, 3:00 pm Pacific If you have any questions, email help@bmtinfonet.org or phone 888-597-7674. Contact 1 Select the group that best describes you. * Survivor/ Patient/ Family / Friend Transplant Center Staff Medical Personnel/ Not Transplant Staff Advocacy - Staff Pharma/Med Supply Staff Insurance Personnel Other First Name * Last Name * Birth Year of Registrant Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Email * Phone Number Country * United StatesAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo, Republic Of TheCongo, The Democratic Republic of theCook IslandsCosta RicaCôte d’IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSerbia and MontenegroSeychellesSierra LeoneSingaporeSint Maarten (Dutch Part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Street Address City * State/Province * Postal Code Organization and Title * Please tell us the name of the organization and your position Phone Number (work) Country (work) United StatesAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo, Republic Of TheCongo, The Democratic Republic of theCook IslandsCosta RicaCôte d’IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSerbia and MontenegroSeychellesSierra LeoneSingaporeSint Maarten (Dutch Part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe City (work) State/Province (work) Postal Code (Work) Patient Info & Relationship What is your Relationship to Patient * - Select -Transplant Patient/SurvivorSpouse of Patient/SurvivorPartner of Patient/SurvivorParent of Patient/SurvivorChild of Patient/SurvivorSibling of Patient/SurvivorGrandparent of Patient/SurvivorOther Relative of Patient/SurvivorUnrelated Caregiver of SurvivorFriendOther Relationship Other Patient First Name Patient Last Name Patient's Birth Year Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Diagnosis Info Disease that led to transplant * Start typing to use drop down. If not on list type OTHER DISEASEAcute Lymphoblastic Leukemia (ALL)Acute Mast CellAcute Myeloid/Myelogenous Leukemia (AML)Acquired Pure Red Cell AplasiaAdrenoleukodystrophy (ALD)AmyloidosisAtaxis TelangiectasisAutoimmune Hemolytic Anemia (AIHA)Autoimmune Lymphoproliferative Syndrome (ALP)Autoimmune Thrombocytopenic PurpuraBare Lymphocyte SyndromeBattens DiseaseBehcet's DiseaseBrain TumorBone-Marrow FailureBreast CancerBurkitt's LymphomaCastlemans DiseaseCd 40 Ligand DeficiencyCentral Nervous System MalignanciesChediak-Higashi SyndromeChronic Eosinophilic Leukemia (CEL)Chronic Granulomatous DiseaseChronic Inflammatory Demyelinating Polyneuropathy (CIDP)Chronic Lymphocytic Leukemia (CLL)Chronic Myeloid (Myelogenous) Leukemia (CML)Chronic Myelomonocytic Leukemia (CMML)Chronic Neutrophilic Leukemia (CNL)Colon CancerCongenital Amegakaryocytic Thrombocytopenia (CAMT)Cutaneous T-Cell Lymphoma (CTCL)Diamond-Blackfan AnemiaDevic's disease- Neuromyelitis optica (NMO)DiGeorge AnomalyDyskeratosis CongenitaEssential Thrombocythemia (ET)Evan's SyndromeEwing's SarcomaFanconi anemia (FA)Felty's SyndromeGauchers DiseaseGerm Cell TumorHairy Cell LeukemiaHistiocytosis, Hemophagocytic (HLH)Histiocytosis, Langerhans Cell (LCH)Hodgkin's Disease (HD)Hunter's DiseaseHurler's SyndromeHyper IgE SyndromeI-Cell diseaseIdiopathic Thrombocytopenic purpura (ITP)Immunodysregulation Polyendocrinopathy enteropathy X-linked Syndrome (IPEX)Juvenile Chronic Granulocytic (JCGL)Juvenile Myelomonocytic Leukemia (JMML)Kostmann's SyndromeKrabbe DiseaseLarge Granular Lymphocytic LeukemiaLesch-Nyhan diseaseLeukemiaLeukocyte Adhesion DeficiencyLight Chain Deposition DiseaseLung CancerLupus, SystemicMantle Cell Lymphoma (MCL)Maroteaux-Lamy SyndromeMelanomaMetachromatic LeukodystrophyMorquioMultiple MyelomaMultiple SclerosisMyelodysplastic Syndrome (MDS)Myelofibrosis (MF)Myeloproliferative Disorder/Neoplasms (MPD)(MPN)Natowicz SyndromeNeuroblastomaNiemann-Pick DiseaseNon-Hodgkin Lymphoma (NHL)Omenn SyndromeOsteogeneic SarcomaOsteopetrosisOvarian CancerParkinson's DiseaseParoxysmal Nocturnal Hemoglobinuria (PNH)Poems SyndromePolycythemia Vera (PV)PorphyriaPrimitive Neuroectodermal Tumor (PNET)Pure red cell aplasiaRenal Cell CancerRetinoblastomaRheumatoid Arthritis (RA)Sanfilippo SyndromeSchwachmann-Diamond SyndromeSclerodermaSevere aplastic anemiaSevere Combined Immunodeficiency Disease (SCID)Sickle Cell DiseaseSoft Tissue SarcomaTesticular CancerThalassemiaThymomaWaldenstrom's MacroglobulinemiaWilm's TumorWiskott-Aldrich SyndromeWolman DiseaseX-Linked AgammaglobulinemiaX-Linked Hyper IgM SyndromeX-Linked Lymphoproliferative Syndrome (XPL)Other Disease Disease Description If your disease was not listed above enter it here. What type of therapy did you/patient have? * Bone Marrow/Stem Cell/Cord Blood Transplant CAR T-cell Therapy None at this time Transplant Info Number of Transplants Date of Most Recent Transplant * Please select the Month and Year of Transplant. If you do not remember the month select Jan. Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year19741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Transplant Type * - Select -Autologous (using your own cells)Tandem AutologousAllogeneic (using donor cells)Syngeneic (using identical twin cells)Allogeneic after an AutologousUnknown Transplant Center - None -AB- Alberta Blood & Marrow Transplant at Foothills Medical CentreAB- Alberta Children's HospitalAB- Cross Cancer InstituteAL- Children's Hospital of AlabamaAL- Huntsville Hospital/Clearview Cancer InstituteAL- Providence HospitalAL- University of Alabama at BirminghamAR- Arkansas Children's HospitalAR- Hembree Mercy Medical CenterAR- Impact Center of Little RockAR- University of Arkansas for Medical Sciences/Myeloma Institute for Research & TherapyAZ- Arizona Oncology AssociatesAZ- Banner MD Anderson Cancer CenterAZ- Banner University Medical Center - Pediatric TransplantAZ- Banner University Medical Center/University of Arizona Cancer CenterAZ- Cancer Transplant HonorHealth/Virginia G. Piper Cancer Center/ScottsdaleAZ- City of Hope - Samaritan Unit ArizonaAZ- Mayo Clinic ArizonaAZ- Phoenix Children's HospitalBC- British Columbia's Children's HospitalBC- Vancouver General Hospital/Gordon and Leslie Diamond Health Care CentreCA- Alta Bates Medical CenterCA- Cancer & Blood Institute of the DesertCA- Cedars-Sinai Medical Center /Samuel Oschin Comprehensive Cancer InstituteCA- Children's Hospital & Research Center of OaklandCA- Children's Hospital of Los AngelesCA- CHOC Children's HospitalCA- City of Hope National Medical CenterCA- Glendale Comprehensive Cancer CenterCA- Hoag Cancer CenterCA- Kaiser Permanente/Los Angeles Medical CenterCA- Loma Linda University Children's HospitalCA- Loma Linda University Medical CenterCA- Lucile Packard Children's Hospital at StanfordCA- Pacific Presbyterian Medical CenterCA- Rady Children's Hospital/San DiegoCA- Scripps MD Anderson Cancer Center Transplant & Cellular Therapy ProgramCA- St. Joseph HospitalCA- Stanford HealthcareCA- Sutter Medical Center/Sutter Cancer CenterCA- UC Davis Comprehensive Cancer CenterCA- UC Irvine Medical CenterCA- UCLA Jonsson Cancer Center/Ronald Reagan Medical CenterCA - UCLA Mattel Children's HospitalCA- UC San Diego/Moores Cancer CenterCA- UC San Francisco Benioff Children's HospitalCA- UC San Francisco Medical Center/Helen Diller Family Comprehensive Cancer CenterCA- University of Southern California/ Norris Comprehensive Cancer CenterCA- West Valley Medical CenterCO- Children's Hospital ColoradoCO- Colorado Blood Cancer Institute/Presbyterian St. Luke's Medical CenterCO- Impact Center of Colorado SpringsCO- North Colorado Medical CenterCO- Rocky Mountain Cancer CentersCO- University of Colorado HospitalCT- Smilow Cancer Hospital at Yale New HavenCT- Stamford Hospital /Bennett Cancer CenterCT- University of Connecticut Health Center/Carole and Ray Neag Comprehensive Cancer CenterCT- Western Connecticut Health Network/Danbury HospitalCT -Yale New Haven Children's HospitalDC- Children's National Medical CenterDC- George Washington University Medical CenterDC- MedStar Georgetown University Hospital/Lombardi Comprehensive Cancer CenterDC- Washington Cancer InstituteDE- Christiana Care Health ServicesDE- Nemours/Alfred I du Pont Hospital for ChildrenFL- (Tamarac) University Hospital & Medical CenterFL -Advent Health for ChildrenFL- Advent Health Medical CenterFL- Bethesda Health CityFL- Good Samaritan Medical Center/Helen and Harry Gray Cancer InstituteFL- Halifax Medical Center/H D Kernan Oncology CenterFL- Impact Center of Boca RatonFL- Impact Center of ClearwaterFL- Impact Center of Coconut GroveFL- Impact Center of Dade CountyFL- Impact Center of PensacolaFL- Impact Center of South BrowardFL- Impact Center of St. PetersburgFL- Impact Center of TampaFL- Impact Center of Treasure CoastFL- Johns Hopkins All Children's HospitalFL- Mayo Clinic FloridaFL- Miami Cancer Institute/ Baptist Health South FloridaFL- Moffitt Cancer Center and Research InstituteFL- Moffitt Malignant Hem & Cellular Therapy at Memorial Healthcare SystemFL-Nemours Children's Clinic/Wolfson Children's Hospital/FL- Nicklaus Children's HospitalFL -Orlando Health Arnold Palmer Children's HospitalFL -Orlando Health Cancer InstituteFL- South Florida Bone Marrow Stem Cell InstituteFL -Tampa General HospitalFL- UF Health Shands HospitalFL -UF Shands Children's HospitalFL- University of Miami/Jackson Memorial Hsopital/Holz Children's HospitalFL- University of Miami/Sylvester Comprehensive Cancer CenterGA- Augusta University Health Inc.GA- BMT Program at Northside HospitalGA- Children's Healthcare of Atlanta at Egleston/AflacGA- Columbus Regional Health Care/John B Amos Cancer CenterGA- DeKalb Medical Center/Kann Outpatient Cancer CenterGA- Emory University Hospital/Winship Cancer CenterGA- Impact Center of Central GeorgiaGA- Impact Center of SavannahGA- Phoebe Cancer CenterHI- Hawaii Medical Center EastHI- Kapiolani Medical Center For Woman & ChildrenHI- The Queen's Medical CenterIA- University of Iowa Children's HospitalIA- University of Iowa Hospital & Clinics/Holden Comprehensive Cancer CenterID- St. Luke's Cancer InstituteIL- Advocate Bone Marrow Transplant and Cellular Therapy ProgramIL- Ann & Robert H Lurie Children's Hospital of Chicago (formerly Children's Memorial Hospital)IL- City of Hope Chicago (formerly Cancer Treatment Centers of America)IL- Evanston Northwestern Hospital/Kellogg Cancer Care CenterIL- Hinsdale Hospital/Northwest Oncology & HematologyIL- Loyola University Medical Center/Cardinal Bernardin Cancer CenterIL- Memorial Medical CenterIL- Michael Reese Hospital & Medical CenterIL- Northwestern Memorial Hospital Division of Immunotherapy & Autoimmune DiseasesIL- Northwestern Stem Cell Transplantation and Cell Therapy ProgramIL- Ravenswood Hospital Medical CenterIL- Rush University Medical CenterIL- St. John's HospitalIL- Unity Point Health MethodistIL- University of Chicago Comer Children's HospitalIL- University of Chicago Medical CenterIL- University of Illinois Hospital & Health Sciences SystemIL- Weiss Memorial HospitalIN- Central Indiana Cancer CenterIN- Impact Center of Fort WayneIN- Indiana Blood and Marrow Transplantation/Franciscan HealthIN- Indiana University Health University HospitalIN- Memorial Hospital of South BendIN- Riley Hospital for Children IU HealthIN- Rush-Munster Community HospitalIN- St. Vincent HospitalKS- Ascension Via Christi/St. Francis Hospital CampusKS- University of Kansas Cancer CenterKY- University of Kentucky-Markey Cancer CenterKY- University of Louisville/Norton Children's HospitalKY- University of Louisville Hospital/Brown Cancer CenterLA- Children's Hospital New Orleans/LSU Health Sciences CenterLA- Impact Center of LafayetteLA- Louisiana Children's Medical CenterLA- Louisiana State University Medical Center - New OrleansLA- Mary Bird Perkins Cancer CenterLA- Memorial Medical CenterLA -Ochsner HealthcareLA -Ochsner Healthcare - PediatricLA- Ochsner Medical CenterLA- Oscher LSU Health- ShreveportLA- Our Lady of the Lake Regional Medical CenterLA- Terrebonne General Medical CenterLA- Tulane University Medical CenterLondon - Great Osmond Street HospitalMA- Beth Israel Deaconess Medical CenterMA- Boston Medical CenterMA- Dana-Farber Cancer Institute/Boston Children's HospitalMA- Dana-Farber Cancer Institute /Brigham & Women's HospitalMA -Floating Hospital for Children at TuftsMA- Lahey Hospital and Medical CenterMA- Massachusetts General HospitalMA- Tufts Medical CenterMA- UMass Memorial Medical CenterMB- CancerCare ManitobaMD- Greater Baltimore Medical CenterMD- Holy Cross HospitalMD- National Institutes of Health Clinical Center/NAID/NCI/NHLBIMD- Sidney Kimmel Cancer Center at Johns Hopkins University Medical Center/MD- Sidney Kimmel Cancer Center at Johns Hopkins University Pediatric OncologyMD- Sinai Hospital of Baltimore/Alvin and Lois Lapidus Cancer InstituteMD- University of Maryland Medical Center/Greenebaum Cancer CenterMD- Walter Reed National Military Medical CenterME- Impact Center of Bangor/Eastern Maine Medical CenterME- Maine Medical CenterME- Maine Medical Center/Maine Children's Cancer ProgramMI- Barbara Ann Karmanos Cancer Center/Wayne State UniversityMI- Cancer & Hematology Centers of Western MichiganMI- Children's Hospital of Michigan/KarmanosMI -Corewell Health (formerly Spectrum)MI- Harper Hospital/Detroit Medical CenterMI- Helen DeVos Children's HospitalMI- Henry Ford Health System/Josephine Ford Cancer InstituteMI- Impact Center of Grand RapidsMI- Oakwood Healthcare SystemMI- University of Michigan/C.S. Mott Children's HospitalMI- University of Michigan Comprehensive Cancer CenterMN- Abbott Northwestern Hospital/Virginia Piper Cancer InstituteMN- Mayo Clinic RochesterMN -Mayo Clinic Rochester - PediatricsMN- Minnesota Oncology/Hematology P.A.MN- University of Minnesota Masonic Children's HospitalMN- University of Minnesota Medical Center, FairviewMO- Children's Mercy Hospital & ClinicsMO- Impact Center of Central MissouriMO- Impact Center of Kansas CityMO- Impact Center of St. JosephMO -MU Health Care - Ellis Fischel Cacner CenterMO-Siteman Cancer Center at Barnes-Jewish Hospital & Washington UniversityMO- SSM Cardinal Glennon Children's HospitalMO- SSM Health St. Louis University HospitalMO- St. John's Mercy Medical CenterMO- St. Louis Children's HospitalMO- St. Luke's HospitalMS -Children's of MississippiMS- Jackson Oncology AssociatesMS- University of Mississippi Medical CenterMT- Billings Clinic Cancer CenterMT- Montana Cancer SpecialistsNC- Atrium Health Wake Forest BaptistNC- Duke University Adult Blood & Marrow Transplant ProgramNC- Duke University Children's HospitalNC- Impact Center of AshevilleNC- Impact Center of ColumbiaNC- Levine Cancer Institute/Atrium HealthNC- Levine Children's Hospital/Carolinas Medical CenterNC-Novant Health Transplantation and Cellular TherapyNC- Piedmont Hematology/Oncology AssociatesNC- Presbyterian Cancer CenterNC- Raleigh Hematology Oncology AssociatesNC- University Health Systems of Eastern CarolinaNC -University of North Carolina Children'sNC- University of North Carolina Hospitals/Lineberger Comprehensive Cancer CenterNE- Bergan Mercy HospitalNE- CHI Health Immanuel Medical Center/Alegent Creighton Health Cancer CenterNE -Nebraska Medicine Children's HospitalNE -Nebraska Methodist HospitalNE- The Nebraska Medical Center/Buffett Cancer CenterNH- Dartmouth Hitchcock Medical Center /Mary Hitchcock Memorial Hospital/Norris Cotton Cancer CenterNJ -Bristol-Myers Squibb Children's HospitalNJ- Hackensack University Medical Center/John Theurer Cancer CenterNJ- Impact Center of BayonneNJ -Joseph Sanzari Children's Hospital at HackensackNJ- Medical Oncology Hematology Consultants PANJ- Morristown Memorial Hospital/Carol G. Simon Cancer CenterNJ- Riverview Regional Cancer CenterNJ- Rutgers Cancer Institute of New Jersey/Robert Wood Johnson University HospitalNJ- St. Joseph's Regional Medical CenterNL- St. John's Health Science CenterNM- Impact Center of AlbuquerqueNM- Presbyterian/New Mexico Cancer CenterNM- University of New MexicoNS- Queen Elizabeth II Health Sciences Center/BMT Program of the AtlanticNV- Comprehensive Cancer Centers of NevadaNV - Sarah Cannon Transplant and Cellular Therapy Program at MountainView HospitalNV- University of Nevada School of Medicine/Washoe Medical CenterNV- VA Medical Center - NevadaNY- Albany Medical Center/New York Oncology Hematology AssociatesNY- Brooklyn HospitalNY- Children's Hospital MontefioreNY- Cohen Children's Medical CenterNY -Golisano Children's HospitalNY- Memorial Sloan Kettering Cancer Center/Adult Blood & Marrow Transplant ProgramNY- Memorial Sloan Kettering Cancer Center/Pediatric Blood & Marow Transplant ProgramNY- Montefiore Medical CenterNY- Mount Sinai Medical Center/Tisch Cancer InstituteNY- New York-Presbyterian/Columbia University/Morgan Stanley Children's HospitalNY- New York-Presbyterian/Columbia University Medical CenterNY- New York Hematology/Oncology Associates at Albany Medical CenterNY- New York Presbyterian/Weill Cornell Medical CenterNY- Northwell Health at North Shore UniversityNY- Northwelll Health at North Shore University HospitalNY- NYU Langone Medical Center/Hassenfeld Children's HospitalNY- NYU Langone Medical Center/Rita J. and Stanley H. Kaplan Stem Cell/Bone Marrow Transplant CenterNY- Roswell Park Cancer InstituteNY -Roswell Park Oishei Children'sNY- St. Vincent Hospital and Medical CenterNY- State University of New York at BrooklynNY- Stony Brook University Hospital/Stony Brook Cancer CenterNY- Strong Memorial Hospital/University of Rochester Medical CenterNY- Suny Upstate Medical UniversityNY -Westchester Children's Hospital/Maria FareriNY- Westchester Medical Center/Zalmen A. Arlin Cancer InstituteOH- Akron Children's HospitalOH- Cincinnati Cancer and Cellular Therapy - Jewish HospitalOH- Cincinnati Children's Hospital Medical CenterOH- Cleveland Clinic/Taussig Cancer InstituteOH -Cleveland Clinic Children's HospitalOH- Impact Center of YoungstownOH- Miami Valley HospitalOH- Nationwide Childrens HospitalOH -OhioHealthOH- Ohio State University/Arthur James Cancer Hospital & Research InstituteOH- St. Vincent Mercy Medical Center/Northwest Ohio Stem Cell Transplant ProgramOH- University Hospitals/Rainbow Babies and Children's HospitalOH- University Hospitals/Seidman Cancer CenterOH- University of Cincinnati Medical CenterOK- Cancer Care Associates - Eastern OklahomaOK- Cancer Care Associates - Western OklahomaOK- Cancer Treatment Centers of AmericaOK- Oklahoma University Medical CenterOK- Oklahoma University Medical Center Children's HospitalOK- St. Francis Hospital/Natalie Warner Bryant Cancer CenterON- Hamilton Health Sciences/Juravinski HospitalON- London Health Sciences CentreON- Ontario Cancer Institute/Princess Margaret HospitalON- Ottawa HospitalON- Queen's University/Kingston General HospitalON- Sudbury Regional Hospital/Sudbury Regional Cancer ProgramON- The Hospital for Sick ChildrenOR- Legacy Good Samaritan HospitalOR- Oregon Health & Science University/Doernbecher Children's HospitalOR- Oregon Health and Science University/Knight Cancer InstituteOR- Providence Portland Medical CenterOtherPA- Allegheny Health Network Cancer Institute/West Penn HospitalPA- Cancer Treatment Centers of America/Eastern Regional Medical CenterPA- Children's Hospital of PhiladelphiaPA- Children's Hospital of Pittsburgh/Univeristy of Pittsburgh Medical CenterPA- Delaware County Memorial HospitalPA- Geisinger Medical CenterPA- Hahnemann University HospitalPA- Impact Center of AbingtonPA- Impact Center of HarrisburgPA- Impact Center of Lehigh ValleyPA- Mercy HospitalPA -Penn Medicine Lancaster General HealthPA -Penn State Children's HospitalPA- Penn State Milton S. Hershey Medical CenterPA- Physician Oncology Specialists, Inc.PA- St Christopher's Hospital for ChildrenPA- Temple Fox Chase Cancer Center/Jeanes HospitalPA- Thomas Jefferson University Hospital/Jefferson Kimmel Cancer CenterPA- University of Pennsylvania Medical Center/Abramson Cancer CenterPA- University of Pittsburgh/Hillman Cancer CenterPR- San Jorge Children's HospitalPUE- Centro de Hematologia y Medicina Interna de PueblaQC- Hospital Enfant-JesusQC- Hospital Sainte-JustineQC- Hotel-Dieu de Quebec HospitalQC- Maisonneuve-RosemontQC- McGill University Health Centre/Royal Victoria HospitalQC- Montreal Children's HospitalQC- Montreal General HospitalQC- The Sir Mortimore B. Davis Jewish General HospitalRI- Roger Williams Medical Center/Adele R. Decof Cancer CenterSC- Bon Secours St. Francis Hospital/Louis P. Batson Jr. Cancer CenterSC- Impact Center of ColumbiaSC- Medical University of South Carolina/Hollings Cancer CenterSC- Medical University of South Carolina PediatricSC- Palmetto Hematology Oncology PC/Spartanburg Regional Medical CenterSC- Palmetto Richland Memorial HospitalSC- Prisma Health/Cancer Institute of Greenville Health SystemSC-Roper St. Francis HospitalSD- Avera Transplant InstituteTN- Baptist Cancer Center Malignant Hematology & Transplant ProgramTN- Impact Center of KnoxvilleTN- Impact Center of MemphisTN- Impact Center of Middle TennesseeTN- Impact Center of Tri-CitiesTN- Methodist Healthcare/ University of TennesseeTN -Sarah Cannon Children's Hospital TriStarTN- St. Jude Children's Research HospitalTN- Thompson Cancer Survival CenterTN- Tristar Centennial Medical Center/Sarah Cannon Center for Blood CancerTN- Vanderbilt University/Monroe Carell Jr. Children's HospitalTN- Vanderbilt University Medical Center/Ingram Cancer CenterTN- Vanderfilt University VA HospitalTX- /Baylor College of Medicine Center for Cell and Gene TherapyTX- Baylor University Medical Center/Charles A. Sammons Cancer CenterTX- Brook Army Medical CenterTX -Children's Hospital, MD Anderson/ Univ of TexasTX- Children's Medical Center DallasTX- Christus Santa Rosa Children's HospitalTX- Cook Children's Medical CenterTX- Corpus Christi Cancer CenterTX- Covenant Health System Hematopoietic Transplant ProgramTX- El Paso Cancer Treatment CenterTX- Harrington Cancer CenterTX- Harris Methodist Fort Worth Medical CenterTX- Impact Center of HoustonTX -Medical City Children's HospitalTX- Medical City Dallas HospitalTX- Methodist Children's HospitalTX- Sarah Cannon Transplant and Cellular Therapy Program at Methodist HospitalTX - Sarah Cannon Transplant and Cellular Therpay at St. David's South Austin Medical CenterTX- Scott & White Memorial HospitalTX- Southwest Regional Cancer Center/Austin Transplant ProgramTX- Texas Children's Hospital/Baylor College of MedicineTX- Texas Tech University Medical Center/UMC Southwest Cancer CenterTX- UT Health Science Center at San AntonioTX- UT MD Anderson Cancer CenterTX- UT Medical Branch GalvestonTX- UT Southwestern/Simmons Cancer CenterTX- Wilford Hall Medical CenterTX Audi Murphy VAUnknownUT- LDS Hospital/Intermountain Blood & Marrow Transplant ProgramUT- University of Utah/Primary Children's HospitalUT- University of Utah Medical Center/Huntsman Cancer CenterVA- Children's Hospital of Richmond VCU/Massey Cancer CenterVA- Children's Hospital of the King's DaughtersVA- Impact Center of Central VirginiaVA- INOVA Fairfax HospitalVA- University of Virginia/Emily Couric Clinical Cancer CenterVA- Virginia Commonwealth University/Massey Cancer CenterVA- Virginia Oncology Associates - Newport NewsVA- Virginia Oncology Associates - NorfolkVT- University of Vermont/Fletcher Allen Healthcare/Vermont Cancer CenterWA- Cancer Care NorthwestWA- Fred Hutchinson Cancer Research Center/Seattle Cancer Care AllianceWA- Multi Care Regional Medical CenterWA- Seattle Children's Hospital/Seattle Cancer Care AllianceWA- St. Joseph Medical CenterWA- Swedith Cancer InstituteWA- University of Washington Medical Center/Seattle Cancer Care AllianceWA- VA Puget Sound Health Care SystemWA- Virginia Mason Medical CenterWI- American Family Children's Hospital/University of WIWI- Aurora St. Luke's Medical CenterWI- Children's Hospital of WisconsinWI- Marshfield Clinic/St. Joseph's HospitalWI- Medical College of Wisconsin/Froedert HospitalWI- University of Wisconsin/Carbone Cancer CenterWI- Waukesha Memorial HospitalWV- West Virginia University/Ruby Memorial Hospital/Mary Babb Randolph Cancer Center Transplant Center Name If you do not see your center listed above. Please type in the name of the center What was the patient age at time of transplant Notes about Previous Transplants CAR T-Cell Therapy CAR T-Cell Therapy Patient Have you (or the patient) had, or are considering CAR T-cell Therapy? - None -Yes, The patient had CAR-T cell therapyNo, The Patient has not had CAR-T cell therapyConsidering CAR-T cell therapy Year of CAR T-Cell Therapy Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Name of Hospital where you received CAR T-Cell Therapy - None -AB- Alberta Blood & Marrow Transplant at Foothills Medical CentreAB- Alberta Children's HospitalAB- Cross Cancer InstituteAL- Children's Hospital of AlabamaAL- Huntsville Hospital/Clearview Cancer InstituteAL- Providence HospitalAL- University of Alabama at BirminghamAR- Arkansas Children's HospitalAR- Hembree Mercy Medical CenterAR- Impact Center of Little RockAR- University of Arkansas for Medical Sciences/Myeloma Institute for Research & TherapyAZ- Arizona Oncology AssociatesAZ- Banner MD Anderson Cancer CenterAZ- Banner University Medical Center - Pediatric TransplantAZ- Banner University Medical Center/University of Arizona Cancer CenterAZ- Cancer Transplant HonorHealth/Virginia G. Piper Cancer Center/ScottsdaleAZ- City of Hope - Samaritan Unit ArizonaAZ- Mayo Clinic ArizonaAZ- Phoenix Children's HospitalBC- British Columbia's Children's HospitalBC- Vancouver General Hospital/Gordon and Leslie Diamond Health Care CentreCA- Alta Bates Medical CenterCA- Cancer & Blood Institute of the DesertCA- Cedars-Sinai Medical Center /Samuel Oschin Comprehensive Cancer InstituteCA- Children's Hospital & Research Center of OaklandCA- Children's Hospital of Los AngelesCA- CHOC Children's HospitalCA- City of Hope National Medical CenterCA- Glendale Comprehensive Cancer CenterCA- Hoag Cancer CenterCA- Kaiser Permanente/Los Angeles Medical CenterCA- Loma Linda University Children's HospitalCA- Loma Linda University Medical CenterCA- Lucile Packard Children's Hospital at StanfordCA- Pacific Presbyterian Medical CenterCA- Rady Children's Hospital/San DiegoCA- Scripps MD Anderson Cancer Center Transplant & Cellular Therapy ProgramCA- St. Joseph HospitalCA- Stanford HealthcareCA- Sutter Medical Center/Sutter Cancer CenterCA- UC Davis Comprehensive Cancer CenterCA- UC Irvine Medical CenterCA- UCLA Jonsson Cancer Center/Ronald Reagan Medical CenterCA - UCLA Mattel Children's HospitalCA- UC San Diego/Moores Cancer CenterCA- UC San Francisco Benioff Children's HospitalCA- UC San Francisco Medical Center/Helen Diller Family Comprehensive Cancer CenterCA- University of Southern California/ Norris Comprehensive Cancer CenterCA- West Valley Medical CenterCO- Children's Hospital ColoradoCO- Colorado Blood Cancer Institute/Presbyterian St. Luke's Medical CenterCO- Impact Center of Colorado SpringsCO- North Colorado Medical CenterCO- Rocky Mountain Cancer CentersCO- University of Colorado HospitalCT- Smilow Cancer Hospital at Yale New HavenCT- Stamford Hospital /Bennett Cancer CenterCT- University of Connecticut Health Center/Carole and Ray Neag Comprehensive Cancer CenterCT- Western Connecticut Health Network/Danbury HospitalCT -Yale New Haven Children's HospitalDC- Children's National Medical CenterDC- George Washington University Medical CenterDC- MedStar Georgetown University Hospital/Lombardi Comprehensive Cancer CenterDC- Washington Cancer InstituteDE- Christiana Care Health ServicesDE- Nemours/Alfred I du Pont Hospital for ChildrenFL- (Tamarac) University Hospital & Medical CenterFL -Advent Health for ChildrenFL- Advent Health Medical CenterFL- Bethesda Health CityFL- Good Samaritan Medical Center/Helen and Harry Gray Cancer InstituteFL- Halifax Medical Center/H D Kernan Oncology CenterFL- Impact Center of Boca RatonFL- Impact Center of ClearwaterFL- Impact Center of Coconut GroveFL- Impact Center of Dade CountyFL- Impact Center of PensacolaFL- Impact Center of South BrowardFL- Impact Center of St. PetersburgFL- Impact Center of TampaFL- Impact Center of Treasure CoastFL- Johns Hopkins All Children's HospitalFL- Mayo Clinic FloridaFL- Miami Cancer Institute/ Baptist Health South FloridaFL- Moffitt Cancer Center and Research InstituteFL- Moffitt Malignant Hem & Cellular Therapy at Memorial Healthcare SystemFL-Nemours Children's Clinic/Wolfson Children's Hospital/FL- Nicklaus Children's HospitalFL -Orlando Health Arnold Palmer Children's HospitalFL -Orlando Health Cancer InstituteFL- South Florida Bone Marrow Stem Cell InstituteFL -Tampa General HospitalFL- UF Health Shands HospitalFL -UF Shands Children's HospitalFL- University of Miami/Jackson Memorial Hsopital/Holz Children's HospitalFL- University of Miami/Sylvester Comprehensive Cancer CenterGA- Augusta University Health Inc.GA- BMT Program at Northside HospitalGA- Children's Healthcare of Atlanta at Egleston/AflacGA- Columbus Regional Health Care/John B Amos Cancer CenterGA- DeKalb Medical Center/Kann Outpatient Cancer CenterGA- Emory University Hospital/Winship Cancer CenterGA- Impact Center of Central GeorgiaGA- Impact Center of SavannahGA- Phoebe Cancer CenterHI- Hawaii Medical Center EastHI- Kapiolani Medical Center For Woman & ChildrenHI- The Queen's Medical CenterIA- University of Iowa Children's HospitalIA- University of Iowa Hospital & Clinics/Holden Comprehensive Cancer CenterID- St. Luke's Cancer InstituteIL- Advocate Bone Marrow Transplant and Cellular Therapy ProgramIL- Ann & Robert H Lurie Children's Hospital of Chicago (formerly Children's Memorial Hospital)IL- City of Hope Chicago (formerly Cancer Treatment Centers of America)IL- Evanston Northwestern Hospital/Kellogg Cancer Care CenterIL- Hinsdale Hospital/Northwest Oncology & HematologyIL- Loyola University Medical Center/Cardinal Bernardin Cancer CenterIL- Memorial Medical CenterIL- Michael Reese Hospital & Medical CenterIL- Northwestern Memorial Hospital Division of Immunotherapy & Autoimmune DiseasesIL- Northwestern Stem Cell Transplantation and Cell Therapy ProgramIL- Ravenswood Hospital Medical CenterIL- Rush University Medical CenterIL- St. John's HospitalIL- Unity Point Health MethodistIL- University of Chicago Comer Children's HospitalIL- University of Chicago Medical CenterIL- University of Illinois Hospital & Health Sciences SystemIL- Weiss Memorial HospitalIN- Central Indiana Cancer CenterIN- Impact Center of Fort WayneIN- Indiana Blood and Marrow Transplantation/Franciscan HealthIN- Indiana University Health University HospitalIN- Memorial Hospital of South BendIN- Riley Hospital for Children IU HealthIN- Rush-Munster Community HospitalIN- St. Vincent HospitalKS- Ascension Via Christi/St. Francis Hospital CampusKS- University of Kansas Cancer CenterKY- University of Kentucky-Markey Cancer CenterKY- University of Louisville/Norton Children's HospitalKY- University of Louisville Hospital/Brown Cancer CenterLA- Children's Hospital New Orleans/LSU Health Sciences CenterLA- Impact Center of LafayetteLA- Louisiana Children's Medical CenterLA- Louisiana State University Medical Center - New OrleansLA- Mary Bird Perkins Cancer CenterLA- Memorial Medical CenterLA -Ochsner HealthcareLA -Ochsner Healthcare - PediatricLA- Ochsner Medical CenterLA- Oscher LSU Health- ShreveportLA- Our Lady of the Lake Regional Medical CenterLA- Terrebonne General Medical CenterLA- Tulane University Medical CenterLondon - Great Osmond Street HospitalMA- Beth Israel Deaconess Medical CenterMA- Boston Medical CenterMA- Dana-Farber Cancer Institute/Boston Children's HospitalMA- Dana-Farber Cancer Institute /Brigham & Women's HospitalMA -Floating Hospital for Children at TuftsMA- Lahey Hospital and Medical CenterMA- Massachusetts General HospitalMA- Tufts Medical CenterMA- UMass Memorial Medical CenterMB- CancerCare ManitobaMD- Greater Baltimore Medical CenterMD- Holy Cross HospitalMD- National Institutes of Health Clinical Center/NAID/NCI/NHLBIMD- Sidney Kimmel Cancer Center at Johns Hopkins University Medical Center/MD- Sidney Kimmel Cancer Center at Johns Hopkins University Pediatric OncologyMD- Sinai Hospital of Baltimore/Alvin and Lois Lapidus Cancer InstituteMD- University of Maryland Medical Center/Greenebaum Cancer CenterMD- Walter Reed National Military Medical CenterME- Impact Center of Bangor/Eastern Maine Medical CenterME- Maine Medical CenterME- Maine Medical Center/Maine Children's Cancer ProgramMI- Barbara Ann Karmanos Cancer Center/Wayne State UniversityMI- Cancer & Hematology Centers of Western MichiganMI- Children's Hospital of Michigan/KarmanosMI -Corewell Health (formerly Spectrum)MI- Harper Hospital/Detroit Medical CenterMI- Helen DeVos Children's HospitalMI- Henry Ford Health System/Josephine Ford Cancer InstituteMI- Impact Center of Grand RapidsMI- Oakwood Healthcare SystemMI- University of Michigan/C.S. Mott Children's HospitalMI- University of Michigan Comprehensive Cancer CenterMN- Abbott Northwestern Hospital/Virginia Piper Cancer InstituteMN- Mayo Clinic RochesterMN -Mayo Clinic Rochester - PediatricsMN- Minnesota Oncology/Hematology P.A.MN- University of Minnesota Masonic Children's HospitalMN- University of Minnesota Medical Center, FairviewMO- Children's Mercy Hospital & ClinicsMO- Impact Center of Central MissouriMO- Impact Center of Kansas CityMO- Impact Center of St. JosephMO -MU Health Care - Ellis Fischel Cacner CenterMO-Siteman Cancer Center at Barnes-Jewish Hospital & Washington UniversityMO- SSM Cardinal Glennon Children's HospitalMO- SSM Health St. Louis University HospitalMO- St. John's Mercy Medical CenterMO- St. Louis Children's HospitalMO- St. Luke's HospitalMS -Children's of MississippiMS- Jackson Oncology AssociatesMS- University of Mississippi Medical CenterMT- Billings Clinic Cancer CenterMT- Montana Cancer SpecialistsNC- Atrium Health Wake Forest BaptistNC- Duke University Adult Blood & Marrow Transplant ProgramNC- Duke University Children's HospitalNC- Impact Center of AshevilleNC- Impact Center of ColumbiaNC- Levine Cancer Institute/Atrium HealthNC- Levine Children's Hospital/Carolinas Medical CenterNC-Novant Health Transplantation and Cellular TherapyNC- Piedmont Hematology/Oncology AssociatesNC- Presbyterian Cancer CenterNC- Raleigh Hematology Oncology AssociatesNC- University Health Systems of Eastern CarolinaNC -University of North Carolina Children'sNC- University of North Carolina Hospitals/Lineberger Comprehensive Cancer CenterNE- Bergan Mercy HospitalNE- CHI Health Immanuel Medical Center/Alegent Creighton Health Cancer CenterNE -Nebraska Medicine Children's HospitalNE -Nebraska Methodist HospitalNE- The Nebraska Medical Center/Buffett Cancer CenterNH- Dartmouth Hitchcock Medical Center /Mary Hitchcock Memorial Hospital/Norris Cotton Cancer CenterNJ -Bristol-Myers Squibb Children's HospitalNJ- Hackensack University Medical Center/John Theurer Cancer CenterNJ- Impact Center of BayonneNJ -Joseph Sanzari Children's Hospital at HackensackNJ- Medical Oncology Hematology Consultants PANJ- Morristown Memorial Hospital/Carol G. Simon Cancer CenterNJ- Riverview Regional Cancer CenterNJ- Rutgers Cancer Institute of New Jersey/Robert Wood Johnson University HospitalNJ- St. Joseph's Regional Medical CenterNL- St. John's Health Science CenterNM- Impact Center of AlbuquerqueNM- Presbyterian/New Mexico Cancer CenterNM- University of New MexicoNS- Queen Elizabeth II Health Sciences Center/BMT Program of the AtlanticNV- Comprehensive Cancer Centers of NevadaNV - Sarah Cannon Transplant and Cellular Therapy Program at MountainView HospitalNV- University of Nevada School of Medicine/Washoe Medical CenterNV- VA Medical Center - NevadaNY- Albany Medical Center/New York Oncology Hematology AssociatesNY- Brooklyn HospitalNY- Children's Hospital MontefioreNY- Cohen Children's Medical CenterNY -Golisano Children's HospitalNY- Memorial Sloan Kettering Cancer Center/Adult Blood & Marrow Transplant ProgramNY- Memorial Sloan Kettering Cancer Center/Pediatric Blood & Marow Transplant ProgramNY- Montefiore Medical CenterNY- Mount Sinai Medical Center/Tisch Cancer InstituteNY- New York-Presbyterian/Columbia University/Morgan Stanley Children's HospitalNY- New York-Presbyterian/Columbia University Medical CenterNY- New York Hematology/Oncology Associates at Albany Medical CenterNY- New York Presbyterian/Weill Cornell Medical CenterNY- Northwell Health at North Shore UniversityNY- Northwelll Health at North Shore University HospitalNY- NYU Langone Medical Center/Hassenfeld Children's HospitalNY- NYU Langone Medical Center/Rita J. and Stanley H. Kaplan Stem Cell/Bone Marrow Transplant CenterNY- Roswell Park Cancer InstituteNY -Roswell Park Oishei Children'sNY- St. Vincent Hospital and Medical CenterNY- State University of New York at BrooklynNY- Stony Brook University Hospital/Stony Brook Cancer CenterNY- Strong Memorial Hospital/University of Rochester Medical CenterNY- Suny Upstate Medical UniversityNY -Westchester Children's Hospital/Maria FareriNY- Westchester Medical Center/Zalmen A. Arlin Cancer InstituteOH- Akron Children's HospitalOH- Cincinnati Cancer and Cellular Therapy - Jewish HospitalOH- Cincinnati Children's Hospital Medical CenterOH- Cleveland Clinic/Taussig Cancer InstituteOH -Cleveland Clinic Children's HospitalOH- Impact Center of YoungstownOH- Miami Valley HospitalOH- Nationwide Childrens HospitalOH -OhioHealthOH- Ohio State University/Arthur James Cancer Hospital & Research InstituteOH- St. Vincent Mercy Medical Center/Northwest Ohio Stem Cell Transplant ProgramOH- University Hospitals/Rainbow Babies and Children's HospitalOH- University Hospitals/Seidman Cancer CenterOH- University of Cincinnati Medical CenterOK- Cancer Care Associates - Eastern OklahomaOK- Cancer Care Associates - Western OklahomaOK- Cancer Treatment Centers of AmericaOK- Oklahoma University Medical CenterOK- Oklahoma University Medical Center Children's HospitalOK- St. Francis Hospital/Natalie Warner Bryant Cancer CenterON- Hamilton Health Sciences/Juravinski HospitalON- London Health Sciences CentreON- Ontario Cancer Institute/Princess Margaret HospitalON- Ottawa HospitalON- Queen's University/Kingston General HospitalON- Sudbury Regional Hospital/Sudbury Regional Cancer ProgramON- The Hospital for Sick ChildrenOR- Legacy Good Samaritan HospitalOR- Oregon Health & Science University/Doernbecher Children's HospitalOR- Oregon Health and Science University/Knight Cancer InstituteOR- Providence Portland Medical CenterOtherPA- Allegheny Health Network Cancer Institute/West Penn HospitalPA- Cancer Treatment Centers of America/Eastern Regional Medical CenterPA- Children's Hospital of PhiladelphiaPA- Children's Hospital of Pittsburgh/Univeristy of Pittsburgh Medical CenterPA- Delaware County Memorial HospitalPA- Geisinger Medical CenterPA- Hahnemann University HospitalPA- Impact Center of AbingtonPA- Impact Center of HarrisburgPA- Impact Center of Lehigh ValleyPA- Mercy HospitalPA -Penn Medicine Lancaster General HealthPA -Penn State Children's HospitalPA- Penn State Milton S. Hershey Medical CenterPA- Physician Oncology Specialists, Inc.PA- St Christopher's Hospital for ChildrenPA- Temple Fox Chase Cancer Center/Jeanes HospitalPA- Thomas Jefferson University Hospital/Jefferson Kimmel Cancer CenterPA- University of Pennsylvania Medical Center/Abramson Cancer CenterPA- University of Pittsburgh/Hillman Cancer CenterPR- San Jorge Children's HospitalPUE- Centro de Hematologia y Medicina Interna de PueblaQC- Hospital Enfant-JesusQC- Hospital Sainte-JustineQC- Hotel-Dieu de Quebec HospitalQC- Maisonneuve-RosemontQC- McGill University Health Centre/Royal Victoria HospitalQC- Montreal Children's HospitalQC- Montreal General HospitalQC- The Sir Mortimore B. Davis Jewish General HospitalRI- Roger Williams Medical Center/Adele R. Decof Cancer CenterSC- Bon Secours St. Francis Hospital/Louis P. Batson Jr. Cancer CenterSC- Impact Center of ColumbiaSC- Medical University of South Carolina/Hollings Cancer CenterSC- Medical University of South Carolina PediatricSC- Palmetto Hematology Oncology PC/Spartanburg Regional Medical CenterSC- Palmetto Richland Memorial HospitalSC- Prisma Health/Cancer Institute of Greenville Health SystemSC-Roper St. Francis HospitalSD- Avera Transplant InstituteTN- Baptist Cancer Center Malignant Hematology & Transplant ProgramTN- Impact Center of KnoxvilleTN- Impact Center of MemphisTN- Impact Center of Middle TennesseeTN- Impact Center of Tri-CitiesTN- Methodist Healthcare/ University of TennesseeTN -Sarah Cannon Children's Hospital TriStarTN- St. Jude Children's Research HospitalTN- Thompson Cancer Survival CenterTN- Tristar Centennial Medical Center/Sarah Cannon Center for Blood CancerTN- Vanderbilt University/Monroe Carell Jr. Children's HospitalTN- Vanderbilt University Medical Center/Ingram Cancer CenterTN- Vanderfilt University VA HospitalTX- /Baylor College of Medicine Center for Cell and Gene TherapyTX- Baylor University Medical Center/Charles A. Sammons Cancer CenterTX- Brook Army Medical CenterTX -Children's Hospital, MD Anderson/ Univ of TexasTX- Children's Medical Center DallasTX- Christus Santa Rosa Children's HospitalTX- Cook Children's Medical CenterTX- Corpus Christi Cancer CenterTX- Covenant Health System Hematopoietic Transplant ProgramTX- El Paso Cancer Treatment CenterTX- Harrington Cancer CenterTX- Harris Methodist Fort Worth Medical CenterTX- Impact Center of HoustonTX -Medical City Children's HospitalTX- Medical City Dallas HospitalTX- Methodist Children's HospitalTX- Sarah Cannon Transplant and Cellular Therapy Program at Methodist HospitalTX - Sarah Cannon Transplant and Cellular Therpay at St. David's South Austin Medical CenterTX- Scott & White Memorial HospitalTX- Southwest Regional Cancer Center/Austin Transplant ProgramTX- Texas Children's Hospital/Baylor College of MedicineTX- Texas Tech University Medical Center/UMC Southwest Cancer CenterTX- UT Health Science Center at San AntonioTX- UT MD Anderson Cancer CenterTX- UT Medical Branch GalvestonTX- UT Southwestern/Simmons Cancer CenterTX- Wilford Hall Medical CenterTX Audi Murphy VAUnknownUT- LDS Hospital/Intermountain Blood & Marrow Transplant ProgramUT- University of Utah/Primary Children's HospitalUT- University of Utah Medical Center/Huntsman Cancer CenterVA- Children's Hospital of Richmond VCU/Massey Cancer CenterVA- Children's Hospital of the King's DaughtersVA- Impact Center of Central VirginiaVA- INOVA Fairfax HospitalVA- University of Virginia/Emily Couric Clinical Cancer CenterVA- Virginia Commonwealth University/Massey Cancer CenterVA- Virginia Oncology Associates - Newport NewsVA- Virginia Oncology Associates - NorfolkVT- University of Vermont/Fletcher Allen Healthcare/Vermont Cancer CenterWA- Cancer Care NorthwestWA- Fred Hutchinson Cancer Research Center/Seattle Cancer Care AllianceWA- Multi Care Regional Medical CenterWA- Seattle Children's Hospital/Seattle Cancer Care AllianceWA- St. Joseph Medical CenterWA- Swedith Cancer InstituteWA- University of Washington Medical Center/Seattle Cancer Care AllianceWA- VA Puget Sound Health Care SystemWA- Virginia Mason Medical CenterWI- American Family Children's Hospital/University of WIWI- Aurora St. Luke's Medical CenterWI- Children's Hospital of WisconsinWI- Marshfield Clinic/St. Joseph's HospitalWI- Medical College of Wisconsin/Froedert HospitalWI- University of Wisconsin/Carbone Cancer CenterWI- Waukesha Memorial HospitalWV- West Virginia University/Ruby Memorial Hospital/Mary Babb Randolph Cancer Center Current Health Status Current Health Status Please share any information on survivor's current health status Did you have Graft-versus-Host Disease (GVHD)? - None -YesNo Do you currently have Graft-versus-Host Disease (GVHD) - None -YesNo The Severity of GVHD - None -MildModerateSevere GVHD Organs Select all organs GVHD is or has affected. Skin Nails Eyes Mouth Throat GI Tract/Stomach Muscles Joints/Fascia Genitalia Liver Lungs Nervous System Transplant Center Staff Information What is your position(s) at the transplant center * Transplant Program Director Transplant Medical Director Transplant Physician Transplant Physician Assistant Transplant Nurse Practitioner Transplant Coordinator Transplant Nurse Transplant Psychologist Transplant Social Worker Transplant Survivorship Program Coordinator Transplant Pharmacist Transplant Dietitian Transplant Program Administrator Other Position Other Department Do you have a question you would like the speaker to address? Leave this field blank Submit