Peer-to-Peer Support Program

Join XLA Life's Peer-to-Peer Support Network

Are you newly diagnosed and want to hear from families who have gone through the same experiences? Have you lived with XLA and want to help others? Or are you a close sibling/friend seeking to offer help to someone in need? Please feel out this form and we will be able to connect you with a peer.
Full Name *
Relationship with XLA *
Patient, Parent, Caretaker, Sibling, Researcher, etc.
Are you seeking support? Are you offering to help? *

I am seeking support I can offer help
E-mail *
Example: xlaconnect@gmail.com
Phone Number

Area Code Phone Number
Country of Residence
USA, UK, China, etc.
Years of XLA life experience
You do not need to be a patient to have XLA Life experience
Should be Empty:

Join XLA Life's Peer-to-Peer Support Network