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ISN Email Inquiry Form

How can we help you?
Please use this form or send an email to site-inquiries@sclero.org to request standard information or to submit a comment or question regarding this website and/or scleroderma or related illnesses or symptoms and/or the International Scleroderma Network (ISN).
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Your Name or Nickname:
This information is optional. See our Privacy Policy.
Your Email Address:
This is required in order for us to be able to reply to you. Your inquiry will be sent to our ISN Email Support Services for answering.
Alternate Email:
We will use this address if email is returned from your first address, for any reason.
Subject:
(Optional) Please send me: (Check all that apply.)
Your welcoming email, including information about scleroderma experts, online support, and worldwide support groups.
PDF Brochure: What in the world is Scleroderma?
PDF Brochure about the ISN Voices of Scleroderma book series.
ISN membership or donation information.
ISN Volunteer Application and information.
Student Report information for scleroderma.

(Optional) I would like to: (Check all that apply.)
Update my story, email address, or link that is on this site.
Let you know about a website improvement opportunity for links, display, spelling, grammar, or information on this site.

(Optional) I want more information about: (Check all that apply.)
Morphea Scleroderma
Linear Scleroderma
Systemic Scleroderma (Diffuse, Limited, CREST, Overlap)
Other:

(Optional) I am a: (Check all that apply.)
Person with symptoms of scleroderma or related illnesses.
Caregiver, family member, friend or associate.
Medical professional (doctor, nurse, researcher).
Social worker, hospice worker, mortician or related fields.
Student preparing report on scleroderma or related symptoms.
Your Comments or Questions:
 
 
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SCLERO.ORG is brought to you by the nonprofit International Scleroderma Network (ISN). The ISN is a full-service nonprofit scleroderma charitable foundation providing stellar research, support, education and awareness for scleroderma and related illnesses, such as pulmonary hypertension.
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International Scleroderma Network (ISN)
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