Pre-Register Adult GVHD Patients Support Group

Pre-Register

Network with others who have been diagnosed with chronic graft-versus-host disease (GVHD).

These GVHD support groups are for patients who are a year or more post-transplant and are currently being treated for chronic GVHD. The groups are led by licensed social workers and psychologists who have extensive experience working with patients who are living with GVHD. The groups meet online via Zoom.

GVHD Patient Support Group

First Name

Last Name

Phone Number

Phone Type

Cell

Landline

Street Address

Street Address Line 2

City

State/Province

Postal Code

Country

Birth Date

Patient Info & Relationship

Relationship to Patient

Diagnosis Info

Diagnosis

Type in diagnosis to see list or select Other and complete the disease description.

Disease Description -

If your disease was not listed above enter it here.

Disease Subtype

What type of therapy did you/patient have or will have?

Transplant - bone marrow, stem cell or cord blood

CAR T-Cell Therapy

Unsure

Other…

Transplant Info

Number of Transplants

Date of Most Recent or Possible Transplant

Patient Age at time of transplant

Your Age at time of their transplant

Transplant Type

Donor type

Type of cells used

Match Criteria (MRT)

Transplant Center Name

This support group is for patients and survivors of a transplant who is experiencing GVHD. Since you checked, you are not the patient, please check out our other support groups for those who are caring for someone with GVHD. If you have any questions, please email Michala at michala@bmtinfonet.org.