Newly Diagnosed? Receive Support from a Peer Volunteer

The First Connection program provides newly diagnosed patients, caregivers and their families the opportunity to speak with someone who has "been through it" by talking with a trained Peer volunteer by phone.

• Trained Peers can share their experience in a hopeful way and provide helpful information for anyone still in the treatment process.
• Information about Society and community resources are also available.
• Patient and volunteers are matched by age, diagnosis and gender when possible.
• Any blood cancer patient or caregiver is eligible to receive a call.

There is no charge for this program.

To Speak with a Peer Volunteer:
If you wish to speak to a First Connection peer volunteer, please fill out the online request form below. Someone from the Society will contact you by phone to make a connection.

*required fields

First Name*
Last Name*
Address*
City*
State*	Choose a State/Province Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland And Labrador North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon
Zip/Postal Code*
Day Phone*
Email*
Disease Interested In
Date of Diagnosis
Your relationship to the patient	SelfCaregiverSurvivorFamily MemberDo not wish to disclose
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