PAC chats RSVP

Thank you for your interest in joining a PAC chat!

PAC Chats are a monthly one hour web chat for IBD patients of all ages to share their experiences, ask questions, and receive support from other patients. PAC Chats are a friendly and judge free environment for all patients to talk about IBD. We encourage you to help PAC spread the word about these monthly events!

Question Title

* 1. Contact Information

Name *

Email Address *

Phone Number

Question Title

* 2. Have you attended a PAC chat event in the past?

Yes, I have attended a PAC chat event in the past (you will not need to provide another consent form to attend if you have already submitted a consent form)

No, I have not attended a PAC chat event in the past (please proceed to question 3)