HEAT Kit™- Vasculitis

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HEAT Kit™- Vasculitis

Vasculitis can be tough. The disease itself, medications and side effects of the treatments result in higher than average hospitalization rates and cost. When that happens, it can be overwhelming and stressful. While we cannot take that away, the HEAT Kit™ is designed to reduce some of the stress and make your hospital and emergency visits more effective.

Interested in learning more or receiving a HEAT Kit™?
Please complete the form below (we will never share or sell your information):

Name of the person with the disease *

First

Last

Name of spouse, care partner, family or friend

First

Last

Your Email (you will not be subscribed to any lists, this will not be shared) *

Phone number (including area code)

Street Address *

City *

State *

Zip Code *

Country (outside of the US please see note below) *

Please note, people living outside of the US – due to the cost of international shipping we will be sending you a PDF to print the HEAT Kit.

Please select your form of ANCA Vasculitis: *

EGPA, Eosinophilic Granulomatosis with Polyangiitis,, Churg Strauss
MPA, Microscopic Polyangiitis
Granulomatosis with Polyangiitis (also c-ANCA)
Giant Cell Arteritis
Takayasu Arteritis
Polymyalgia Rheumatica
Behcet
Aortitis
Polyarteritis Nedosa
Other. Please describe in box below.

Do you need an Infusion instruction card?

Is there anything you would like us to know?

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