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We are honoured to be able to share stories from patients and carers, donors and supporters and friends, about their experiences with lymphoma or CLL.

Learning about the experiences of others can be incredibly motivating and uplifting in times of need. By sharing your lymphoma story, you will help to raise awareness of lymphoma and CLL and provide comfort to others going through similar experiences. No one will face lymphoma alone.

Please complete the fields below to share your story. Our team will be in touch with you prior to publishing and to confirm the details submitted. 

If you would prefer to email us your story, please send a Word doc. file to enquiries@lymphoma.org.au 

Contact
us:
Lymphoma Australia
E: enquiries@lymphoma.org.au
P: 1800 953 081

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* 1. First name

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* 2. Last name

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* 3. Email address

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* 4. Phone number

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* 6. Postcode

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* 7. Are you a:

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* 8. What is your lymphoma subtype (if known)?

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* 9. What was your age at diagnosis? (Optional)

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* 10. Please share the story of how lymphoma has impacted you or a loved one.
Things to keep in mind when telling your story:
  • When and how did you receive your diagnosis?
  • What symptoms did you experience before or after treatment (if any)?
  • Were you treated for lymphoma? If so, tell us about the treatment/s you received, and any side effect/s experienced
  • What challenges did you face, and how did you find support?
  • Did you have to move or relocate to get treatment?
  • How did you manage work or family and children?
  • Did you access our support services, education materials, or speak with our Lymphoma Care Nurses?

Your lymphoma story:

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* 11. What advice would you give someone who has recently received a lymphoma/CLL diagnosis? Is there anything you wish you had known before your treatment or things that helped you along the way you want to share?

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* 12. How has Lymphoma Australia helped you in your lymphoma cancer journey? eg. through resources, attending webinars, patient packs, online support groups, Facebook groups, connecting with nurses, help to access trials etc.

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* 13. Consent & Privacy
When sharing patient stories, Lymphoma Australia will protect the privacy of patients. Do you consent to Lymphoma Australia publishing your first name, subtype (if provided) and information from your responses to questions #9, #10 and #11 in online and printed communications? eg. Newsletters, Facebook, Instagram and more.
I understand I can contact Lymphoma Australia at any time to request my story be removed, or edited.

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* 14. Using my story for fundraising

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* 15. (Optional) Please provide an image of yourself. This can be before/after/during treatment. By uploading an image, you consent to Lymphoma Australia publishing this image on our website and social media channels. If other people are in the photo, I also agree that they have given consent.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 16. (Optional) Lymphoma Australia may share parts of your answers to questions #9, #10 and #11 on our social media. NOTE: A draft will be sent to you prior to posting. If you would like us to tag you on social media in posts containing your story, please include links to your social media pages below:

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* 17. Join our email list

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* 18. I would like someone to call me about my story

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