Survivor Caregiver Network
Connect with Someone Who Shares Similar Experiences
Our Survivor and Caregiver Network is a peer-to-peer matching program, connecting survivors and caregivers with others who have had similar experiences. Through the Network you and your match can connect via phone or email to:
Share information
Ask questions
Gain support
Find inspiration
Once we have received your submission, a Patient Services Case Manager will reach out to you with more information and next steps.
You can also
contact
a Case Manager to get more information, have your questions answered, or learn more about becoming a volunteer.
Please complete this form for yourself only. Our privacy policy limits us to contacting only those individuals who request information directly.
First Name:
Last Name:
Email:
Phone Number:
Check your preferred method of contact:
Email
Phone
Tell us a little bit about yourself so we can help connect you to the right volunteer:
How did you first hear about us?
Please select...
Healthcare Professional
Internet Search
Media (TV, Newspaper, Magazine)
Social Media
Friend/Family Member
Other Organization
Other
What is your connection to pancreatic cancer?
Please select...
Patient/Survivor
Caregiver
Family or friend of a patient/survivor
Lost a loved one to pancreatic cancer
Healthcare professional in the pancreatic cancer field
Pancreatic cancer researcher
Biopharma representative
Corporate supporter
I don't have a connection
Other
Please confirm you are 13 years of age or older.
By signing up, you will receive periodic updates and communications from the Pancreatic Cancer Action Network.
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