MBCA | INDUSTRY MEMBER REQUEST FOR PATIENT COLLABORATION
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The Patient Advocate Advisory Group (PAAG) of the MBC Alliance includes individuals who are living with metastatic breast cancer and who are willing to collaborate with industry members on initiatives that would benefit from the patient perspective. If your organization would like to engage group members, please complete the following request form.
 
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Tell us about you and your organization.

First Name:
Last Name:
Company Name:
Email Address:
emailaddress@xyz.com
Preferred Phone:

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Describe the initiative or project for which you are seeking patient input

 

1000 characters left.
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What specific skills or experience do you wish the patient advocate to have?

 

350 characters left.