The Leukemia & Lymphoma Society of Canada Logo

Search

Virtual Support Group Registration

Online Form for Virtual Support Group

Thank you for your interest in joining our virtual support groups. Please fill out the registration form below and the Community Service Lead for your area will reach out to you with a Zoom invitation.

* are mandatory fields that are required

I am:
Disease Information
Please select the diagnosis
Additional Information
What is your preferred language?
Which group would you like to register for?

Please share the following to help LLSC gain a deeper understanding of the communities we serve. This information will enable us to support discoveries and innovations that enhance the impact of our programs and services. 

What is your gender or gender identity?
People in Canada come from many ethnic or cultural groups and we want to make sure we capture the diversity of Canada. You may also belong to more than one group on the following list. Which of the following do you identify with? Please select all that apply.
If you selected Indigenous person from Canada, please specify:
Do you consent to having the LLSC staff member and volunteer contact you by telephone?
Click here to read our privacy policy.
Contact us