Are You (Please Check One)
Patient
Family Member/Friend
Researcher
Doctor
Other (Clinician, RN,
etc.)
If you are a patient:
What is your Age?:
How long have you had symptoms? :
How many others in your family also suffer from Morgellons disease?:
What are their ages?:
What is their relationship to you?:
What symptoms have you experienced:
Skin lesions/sores
Fibers/granules
Itching/stinging sensations
Biting/crawling sensations
Unusual hair loss
Memory loss
Fatigue
Joint/muscular pain
Vision loss
Neurological manifestations
(sensory or motor)
Mood disorder
Attention deficit disorder
Other (specify)
Check here if you want to help
the MRF
What skills can you contribute?
Please click the submit button one time only.
Thank
you for registering with the Morgellons Research Foundation.
Your information will be kept confidential.
We
are sorry if your life or the life of a loved one has been affected
by this disease. Please know that we are working as hard as we can to
raise awareness and to fund research so that we can ultimately find a cure.
Your
email address has been added to our mail list; however, we
regret that not everyone on our mail list receives our newsletter, since many
newsletters are blocked by SPAM filters and other security features over which
we have no control.
Please add "postmaster@morgellons.com"
to your email address book. This will improve the chances of your
newsletter not being blocked by SPAM filters. We
also post our latest newsletter to our website, so please
check our newsletter page periodically.
The
foundation cannot make recommendations to patients regarding the treatment of
Morgellons disease since the cause of the disease is not known and there is no
known cure. Research is
desperately needed to answer these questions.
Many people contact us to say that they want to participate in research, but
without funding, there can be very little research. If you are able, please make a contribution to support research at http://www.morgellons.org/contributions.htm.
Your contributions are tax deductible.
Best
wishes,
The
Morgellons Research Foundation