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North American Educational Forum on Lymphoma
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2020 Virtual North American Educational Forum on Lymphoma Registration
First Name
Last Name
Email Address
Address 1
City
State/Province
ZIP/Postal Code
Phone
Friday, October 23, 2020 – 4:00 PM – 5:00 PM ET Sessions (select one)
-- Please Select --
Lymphoma 101 for Newly Diagnosed Patients/Caregivers
Lymphoma 202: Survivorship
Todo Sobre Linfoma (All about Lymphoma for Spanish Speakers)
Not attending
Saturday, October 24, 2020 - 1:45 PM ET Disease Specific Breakout Sessions (select one)
-- Please Select --
Anaplastic Large Cell Lymphoma
Angioimmunoblastic T-Cell Lymphoma
Central Nervous System Lymphoma
Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma
Cutaneous T-Cell Lymphomas
Diffuse Large B-Cell Lymphoma / Other Aggressive B-Cell Lymphomas
Follicular Lymphoma
Hodgkin Lymphoma
Mantle Cell Lymphoma
Marginal Zone Lymphoma
Peripheral T-Cell Lymphoma NOS
Waldenström Macroglobulinemia
Not attending
Saturday, October 24, 2020 – 4:45 PM ET Living with Lymphoma Sessions (select one)
-- Please Select --
Caregivers Networking/Support Group
La Nutricion Para Pacientes con Linfoma (Nutrition for Patients with Lymphoma)
Supportive Care and Symptom Management
Navigating Health Insurance
Nutrition
Not attending
Sunday, October 25, 2020 – 1:30 PM ET Special Lymphoma Breakout Sessions (select one)
-- Please Select --
Advanced Diagnostic and Biomarker Testing for Lymphoma
Adolescent and Young Adult Survivorship
Bio Similars
Imaging and Scans: Why do I need it?
Oral Agents
Transplantation and Cell Therapy in Lymphoma
Not attending
Sunday, October 25, 2020 – 2:45 PM ET Relapsed/Refractory Breakout Sessions (select one)
-- Please Select --
Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma (CLL/SLL)
Diffuse Large B-Cell Lymphoma (DLBCL)
Follicular Lymphoma
Mantle Cell Lymphoma
Not attending
How do you hear about this program?
-- Please Select --
Email
Healthcare Provider
LRF Website (lymphoma.org)
Postcard or Brochure mailing
Social Media
Other
What is your relationship to lymphoma?
-- Please Select --
Patient
Caregiver
Healthcare Provider
Pharmaceutical Rep
Other
What is your lymphoma subtype?
-- Please Select --
Adult T-cell Leukemia/Lymphoma
Anaplastic Large Cell Lymphoma
Angioimmunoblastic T-Cell Lymphoma
Burkitt Lymphoma
Central Nervous System Lymphoma
Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma
Cutaneous Lymphoma
Diffuse Large B-Cell Lymphoma
Follicular Lymphoma
Hodgkin Lymphoma
Mantle Cell Lymphoma
Marginal Zone Lymphoma
Peripheral T-Cell Lymphoma
Waldenstrom Macroglobulinemia
Not applicable
Other
Register
