Pre-Register CAR T Patients Support Group

Pre-Register

Connect with others who have undergone CAR T-cell therapy.

If you have undergone CAR T-cell therapy, we invite you to join one of our online CAR T-cell support groups. Share experiences and support with others who have been through CAR T-cell therapy.

The CAR T-cell support groups for patients who are a year or more post-CAR T-cell therapy are led by a licensed social worker who has extensive experience working with CAR T-cell patients. The groups meet online via Zoom.

CAR T-cell 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 have?

Transplant - bone marrow, stem cell or cord blood

CAR T-Cell Therapy

Unsure

Other…

Transplant Info

Number of Transplants

Date of 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

Activity

What do you hope to get out of support group

This support group is for patients and survivors who had CAR T-cell therapy. Since you checked, you are not the patient, please check out our other support groups.

Pre-Register

Connect with others who have undergone CAR T-cell therapy.

This support group is for patients and survivors who had CAR T-cell therapy. Since you checked, you are not the patient, please check out our other support groups.

If you have any questions, please email Michala at michala@bmtinfonet.org.