Join Fuchs’ Friends

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Current Members: If you are a current member please do not fill out this form. For changes in your membership or other needs, you must write to the Message Board Moderator.

New Members: Please fill out and submit the application below.

Please Note: We shall hold your name, street address, telephone number and email address in strictest confidence. Completion and submission of this form to our web site implicitly gives us your permission to utilize your other information, such as gender, age, location to develop demographics about Fuchs’ Corneal Dystrophy. Need help, send us an email.

Please be sure to double check your email address. We cannot inform you of email address errors.
Please enter your cell phone if you have one. This provides a way for us to send a text message to you if there is an issue with your membership.
(of the person who has Fuchs’)
(of the person who has Fuchs’)