Share Your Story

Share Your Story

What is your cancer reality? How do you feel we can help #MakeCancerLessShitty? Use the below form to send us your story.

Cancer Type*

Age at Diagnosis*

My Story*

Please enter your email address below so we know how to contact you*

I want a MCLS t-shirt (t-shirts are only available to US residents)!

Mailing Address for T-Shirt

NOTE: We collect mailing addresses solely for the purpose of mailing MCLS t-shirts to eligible respondents, and we will not provide your address to any unrelated third-parties other than the shipping service.

Important:

-Please do not include any drug names in content submitted via this form. We are unable to accept content that references any particular drug product.

-If you feel you have experienced a side effect that was caused by a particular drug, please alert the drug’s manufacturer and your physician.

Permission Request*

Submitted content (other than my US mailing address) may be shared third-parties as part of our Make Cancer Less Shitty campaign to help others understand the impacts, realities, and urgent needs of providing quality supportive care. By checking the below box, I agree to allowing Napo Pharmaceuticals, Inc. (“Napo”) and its affiliates to use my above comment with my cancer type and age of diagnosis only.

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