If you would like to connect to a patient with HPS to offer or receive support, please provide us with your contact information and we will try and match you with a patient from our Program.
Once you have submitted your information, a staff member from the HPS Program will review your request.
Any information that you enter into this form will be used for the sole purpose of connecting HPS patients in the support network. Your information will not be shared with anyone outside of the HPS Program.
If you select the “I would like to offer support to other HPS patients” your name and contact information will be added to our patient support network. You will then be contacted by a HPS program staff member to let you know about opportunities to connect with people looking for support.
If you select the “I am a patient looking for support” option, we will add your name to our patient support network and an HPS program staff member will contact you when we can match you with a supporter.