HelpLine 1-800-298-2436

Submit a Photo

We welcome your pictures as we present to the world the true faces of the disease. We hope to dispel many of the misperceptions and the long held stigmas associated with lung cancer.

All fields marked with an asterisk (*) are required. E-mail addresses and phone numbers are used for internal purposes only.

Last name:
If deceased, check this box: Deceased
Age at diagnosis:
Gender: Male
Female
*State:
if "other," please indicate:
Occupation:
Diagnosis:
Staging of Disease:
Caption for Photo:

Note: MAXIMUM file size is 8MB.





Terms and Conditions:

By clicking submit below, you are indicating that you agree to the terms and conditions stated above.