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COPD International       Your International Support Network

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bullet

See the Personal Experiences Index of articles by COPDers
on various subjects, including Spiriva, LVRS and transplants.

bullet

Visit the library wing featuring COPD Advocate Bill Horden's works.
 

bullet

We have a special chat for the newly diagnosed, new computer users
or those that are unfamiliar and want to learn more about how chatrooms
work
- it is much slower paced - More Information
   ------------------------------------------------------------------------

Our Keep in Touch program (KIT) is a program set up for those of us that live alone.  Many of us have had the unfortunate experience of loosing track of an e-mail friend or loved one, only to find out later that they have been very ill, in the hospital or worse.  Some of us have also found ourselves in the unfortunate situation of winding up in the hospital due to an emergency with no means to contact our e-mail friends and support lists. This program has been setup as a way to help eliminate some of these problems and fears.

This program is NOT:

bulletA substitution for your regular support structure.
bulletA replacement for any lifeline or other programs available in your particular area. 
bulletA primary means of obtaining emergency care in times of need.
bulletA substitution for our other programs, such as the regular lists, message boards or chat rooms.

Member requirements:

bulletYour willingness to provide important personal information for list administrators. This information will be kept in a secure database, available to only a select few people.

It will only be accessed by a list administrator and used under emergency situations.

The administrators will then try to contact you or your emergency contact to ascertain what, if anything, may be wrong.

 

To join the KIT program, please fill in the following information:

First Name: Last Name:
Mailing Address:
Street Address (if different):
City: State: Zipcode: Country:
Phone #:: Cell Phone:
E-mail address:
Alternate E-Mail Address:

Do You Line alone?   Yes   No
If No, with whom do you live?
Name: Relationship
Phone number (if different from above)

Emergency Contact Information -- Someone who does NOT live with you
Name: Relationship:
Phone #: Alternative Phone #:
E_Mail Address:

Comments or Special Instructions:

I understand that my participation in this program is strictly voluntary and does not replace my established, emergency contact protocol. . I authorize the list administrators to contact myself and/or my emergency contacts in the event I cannot be reached by way of my normal e-mail contact or there appears to be a medical emergency.

I agree to contact the list administrators of any changes in my personal, contact or other identifying information as soon as possible, including changes in e-mail address. I also agree to notify my emergency contacts of my participation in this program.

                   


If you have questions about this program , please contact us at 
KIT@COPD-International.com  

 
 

Last modified: April 19, 2008

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