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SED HydrocephalusCONNECT Email Request

 

Hydrocephalus CONNECT

Do you have a question about hydrocephalus? Treatment? Ongoing care? The impact of the condition on all aspects of life?
You can submit them via email here!

Our cyber volunteers are ready to answer your questions and share their experience via email 

HA Support Form:

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Question - Required - Current Primary Treatment





 
Question - Not Required - Primary Shunt Type




 
Question - Not Required - Comorbidities (select the primary comorbidity)












 
Question - Not Required - Complications (select all that apply)

 
Question - Not Required - What is the patient's date of birth?




  Please provide your name, email and zip code

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Name:

 

 

   

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ZIP / Postal Code:

 

 

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