Support Groups

Joining support groups may help you connect with others, learn practical tips, and reduce stress. The Be The Match® Patient Support Center offers telephone support groups for free. If you are interested in joining a support group led by one of our licensed social workers or BMT patient navigators, please complete this form. A Patient Support Center employee will reach out to you within two business days.

1. Contact/ general information:

Today's date:*

First name:*

Last name:*

Phone number:*

E-mail:*

Contact preference:*

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Transplant status:

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Transplant Date (if applicable)

Which support group are you interested in?*

Please note, you must be a patient AND post-transplant to join a survivorship chat.

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Which BMT Survivorship Chat session would you like to sign up for?*

If you selected that you are interested in the BMT Survivorship Chats, please select a session from the drop down menu below.

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Is there anything else you would like to share about yourself?

2. Consent to receive text messages from Be The Match

By selecting “I Agree” below, I authorize Be The Match Patient Support Center to contact me by SMS text message as a way to communicate with me. Be The Match will send me text messages through the Be The Match Patient Support Center outreach texting program to help me, my child or my loved one. I understand that standard messaging and data rates may apply to messages sent by the Be The Match Patient Support Center to my cell phone. I understand that text messages are not a substitute for professional or medical attention. I know that I am under no obligation to authorize Be The Match Patient Support Center to send me text messages as part of this program. I may opt-out of receiving these communications from Be The Match Patient Support Center at any time by texting 'STOP' to (888) 999-6743.

Online Consent: Please select one option below

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3. Demographic Questions

We ask the last few questions so we can design programs and resources that are tailored to your needs and preferences. If you do not wish to answer these question please select 'prefer not to answer.'

Your ethnicity:*

Hispanic or Latino

Not Hispanic or Latino

Prefer not to answer

Your race:

Select all that apply.

Your race:*

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If you selected 'not listed' for your race, please specify:*

If you selected 'not listed' for your highest level of education, please specify:*

Send me a copy of my responses

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