IPS 2025 Travel Support Application

Travel Support Application

To attend the Patient & Family Conference at the International Porphyrias Symposium 2025. October 11-12, 2025 in Arlington, VA.
Travel stipends are available to help cover travel and registration costs for patients who may otherwise be unable to attend.

Each porphyria patient family is eligible for one stipend application. Priority will be given to families who have not previously attended UPA in-person events. A total of 25 stipends, valued at $250 each, will be awarded.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
What city/state do you live in?*
Amount requested (up to $250)
What is your relationship to porphyria?*

I have porphyriaMy child has porphyriaMy spouse/partner has porphyriaMy sibling has porphyriaMy parent has porphyriaOther
Type of porphyria*

Acute intermittent porphyria (AIP)ALA dehydratase deficiency porphyria (ADP)Congenital erythropoietic porphyria (CEP)Erythropoietic protoporphyria (EPP) or X-linked protoporphyria (XLP)Hereditary coproporphyria (HCP)Hepatoerythropoietic porphyria (HEP)Porphyria cutanea tarda (PCT)Variegate porphyria (VP)UndiagnosedOther
I will make every effort to attend the 2025 Porphyria Patient and Family Conference. If I need to cancel for any reason, I agree to contact United Porphyrias Association as soon as possible.
I would like to join the United Porphyrias Association to receive news, information and updates. UPA may also contact you for research opportunities related to porphyria and rare disease.
Please verify that you are human*
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