PedsVPPRN LAUNCHING IN 2025!

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The Pediatric Vasculitis Registry is a new addition to the Vasculitis Patient-Powered Research Network (VPPRN), the research arm of the Vasculitis Foundation.
INSTRUCTIONS: You must be 18 years or older to complete this form. We can't collect contact information from anyone under 18 without parental consent. Please make sure all the information you provide is accurate. Your privacy is important to us, and your information will be kept confidential.

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* First Name

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* Last Name

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* Email Address

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* Alternate Email Address (if applicable)

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* Best Phone Number to Reach You At

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* I am a

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* OPTIONAL: How did you hear about the PedsVPPRN? Please select ALL that apply.

By submitting this form, you are consenting to receive emails from the Pediatric Vasculitis Registry (PedsVPPRN) and the Vasculitis Foundation (VF). You can revoke your consent to receive emails at any time by notifying the VF by completing the VF Contact Us form.
 
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