Writing is Healing Workshop - Sept 2025

Register Now: An interactive 6-Week Workshop where we'll play with writing exercises and form a community of writers (zero previous experience needed!) who inspire and enlighten one another, by using writing as a tool.

Wednesdays, Sept 17 – Oct 22 2025

2:30 - 4:00 pm Eastern, 1:30-3:00 pm Central
12:30 - 2:00 pm Mountain, 11:30- 1:00 pm Pacific

PARTICIPANTS ARE ASKED TO COMMIT TO ATTENDING ALL SIX WORKSHOPS, AS SPACE IS LIMITED

Where: We’ll meet over Zoom

Background Information

First Name *

Last Name *

Email *

Phone

Address

Address line 2

City *

State/Province *

Zip code/Postal Code *

Country

Birth Date

Relationship to Patient *

Tell us about the Patient/Survivor

If you are not the patient/survivor please complete the following:

Patient First Name

Patient Last Name

Please select the month (using the slide arrow) the year and day. Must be in that order.

Patient's Birthdate

Please select the diagnosis that led to the patient's transplant.

Diagnosis *

If you do not see the diagnosis on the list select OTHER

The following questions are about the patient's most recent transplant. If you just know the year, select Jan 1 of that year.

Date of Most Recent Transplant Performed

Type of Transplant

Who was the Donor?

Treatment Intensity

Transplant Center Formal Name (MRT)

Did the patient have GVHD?

Yes

No

Does the patient currently have GVHD?

Yes

No

The Severity of GVHD

Mild

Moderate

Severe

Use the drop down to select the organs affected by GVHD

Please select all Organs affected by GVHD

Please share any information on survivor's current health status

Current Health Status - After Transplant

Has the patient had CAR T Therapy

CAR-T Therapy

mm/dd/yyyy

Date of CAR T-Cell Therapy

Please share any health update after CAR T-cell

Describe other Health Issues after CAR T-cell Therapy