Coats' Disease Parent & Family Contact Directory
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Are you a Coats' Patient or Parent of a Coats' Patient?
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Patient
Parent
Other
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Would you like to be listed in the directory so that other Coats' patients and parents may reach you?
Select option
Yes
No
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Full Name
Child's Name (if you are a parent of a Coats' patient)
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Birth Year of Coats' Patient
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City
Location will help connect you to Coats' patients and families nearby
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State
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Country
Please indicate your preference of contact by providing either an email address or phone number (or both) in the corresponding spaces below.
Email
Phone Number
Both are fine to include in the directory
Email Address
Phone Number
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How did you hear about us? (select all that apply)
Online Search
Connection to Coats' patient
Referral from family/friend
Doctor Referral
Facebook
Instagram
Twitter
Other
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The Jack McGovern Coats’ Disease Foundation provides this directory as a service to connect individuals who have Coats’ Disease, and family and friends of those individuals. Please keep in mind that each Coat’s patient presents a unique set of symptoms and other medical variables, and in each case, Coats' Disease will manifest itself in different ways in different patients. Therefore, diagnosis and treatments vary markedly from patient to patient. We do not advocate that patients and parents advise other patients regarding diagnosis and treatments. We strongly recommend that all patients be treated by qualified retinal specialists. We encourage patients to seek a second professional opinion. Please see our Doctor Directory for a listing of retinal specialists who have experience in treating Coats' Disease. The Jack McGovern Coats’ Disease Foundation expressly disclaims all liability for damages of any kind arising out of the use of this directory.
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