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Account Details

Profile Details

Name (required)

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Are you a PH patient? (required)

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If you are a caregiver, please specify the classification that best describes you. (required)

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Terms of Service (required)

Please check "yes" to indicate that you agree to the Terms of Service. Terms of Service, Privacy Policy and Community Guidelines can be found on the main myPHA landing page at www.myPHAssociation.org.

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Birthday (required)

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What sex/gender do you identify with?
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Date of Diagnosis

Please enter the date of diagnosis as accurately as possible. If you can't recall the exact date, please select an approximate date in the year you or your loved one were diagnosed. In this case, "diagnosis" refers to the first time you or your loved one were told you had PH by a physician.

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Are you or the person you care for between the ages of 20 and 40?
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Are you or the person you care for between the ages of 13 and 19?
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Have you or the person you care for been living with PH for more than 8 years?
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