If you have more than one enrollee request a printable application form here.
You can read our Privacy/Disclaimer statement here.
All medical information is held strictly confidential and helps researchers learn more about rare chromosome disorders. Members may also elect to participate in medical networking (matching with other members with the same medical conditions). Indicate any conditions that apply. Describe where necessary and if treated/resolved, specify how.
CDO offers chromosome disorder networking/matching services, access to an organizational mailing list, registry inclusion, and research/other updates as a benefit of membership. Regional and medical networking also offered upon request. Email firstname.lastname@example.org with questions or for more details on any program.
Networking program participation (optional):
Thank you %NAME% for taking the time to register with Chromodisorder.org. Your participation makes it possible to provide the information and services to others.
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