Share Your Story
Whether you are a survivor, caregiver or advocate, you have a story to tell. Submit your story to raise awareness about the issues that many people affected by lung cancer face. We may highlight your story on our website or in one of our LCI publications in the future. Please let our team know if we can help you by contacting us at eedmondson@lungcancerinitiativenc.org
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Date of Diagnosis
Disease Type (NSCLC or SCLC)
Mutation (if known)
Stage
Your Story- What has inspired you along your journey? Where have you found strength? What advice would you offer someone newly diagnosed?
If the lung cancer survivor in your story is someone besides yourself, please indicate the name of the survivor and your relationship to them
Please include a picture of yourself or if you are writing in honor of a loved one, a picture with them
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I allow access of my story to LCI and permission to be shared
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