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First Name

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What are your reasons for reaching out? *

We want to get a sense of why you are reaching out and how AIMS can help. Please indicate which of the following options best describes your situation. Please review our terms of use before submitting your request. Link is provided at the bottom of this form.

I have been diagnosed with MS and wish to connect with others.

I want to learn more about AIMS and how to get involved.

I am the loved one of someone with MS and wish to learn more.

I want to learn more about medical and financial resources for those with MS.

I just want to talk to someone from AIMS.