Share Your Scarves and/or Story

You can live beyond cancer by sharing your story and words of encouragement. Whether newly diagnosed, in treatment, living with metastatic disease or living years beyond – we each have a story. Thank you for telling us yours.

We created the following story form to help you write your story. Use this on-line form, or if you prefer to hand write, you can download a PDF here, and send to us either by mail or scan and email. Thanks!

Step 1 of 5

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First Name*
Last Name*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Phone*

Diagnosis Information
Cancer Diagnosis*
Additional Information (about the diagnosis)
Stage/Grade
Diagnosis Date
Date Format: MM slash DD slash YYYY
Age at Diagnosis

Would you like to write or tell your story?*
- Write - answer three questions online
- Tell - Schedule a phone call
You will receive an email to schedule a 15 minute phone call with Hope Scarves.
Tell us a little about your diagnosis and what brought you hope during treatment
What was the hardest part?
Please share any thoughts or words of encouragement to share with another woman going through treatment
Thank you for sharing your experience to support another person facing cancer. Soon, you will receive an email to review your story.

We love to see our beautiful scarf recipients wearing their Hope Scarf. If you'd like to share a picture with us, you can upload a "Hope Scarf Selfie" here.
Accepted file types: jpg.
Do you plan to donate a scarf (or scarves) with your story?
- Yes
- No
Are you returning a Hope Scarf?
- Yes
- No
If you would like a printable pre-paid mailing label please click here.

If you do not have print capabilities but would like a pre-paid label please email Erica.

How did you hear about us?
Tell us a little more about where you found us (e.g. Organization, media source, etc)
Communication Preference
- I would like to receive communications from Hope Scarves
Comments
We’d love to hear from you, please send us a message.
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Phone
This field is for validation purposes and should be left unchanged.

Patrice is a Breast Nurse Navigator for Advocate Christ Medical Center Cancer Institute in Illinois and one of our Partnership Coordinators. Christ Medical Center is a member of our Partnership Program and is honored to be the recipient of a corporate donation from LabCorp to be able to pass along Hope Scarves to women in treatment.

Share Your Scarves and/or Story

Step 1 of 5

Diagnosis Information

If you would like a printable pre-paid mailing label please click here.

Comments

Patrice – Advocate Christ Medical Center, IL

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