Pain Warriors Unite - (202) 792-5600
Pain Warriors Unite - (202) 792-5600
We Need an Accurate Count of Americans who suffer from Chronic Pain
INSTRUCTIONS FOR SIGNATURES:
If you are a CHRONIC INTRACTABLE PAIN PATIENT and would like to be counted in our Census, please add your information below.
PLEASE INCLUDE:
Your Name, Zip Code & State, Your Condition, Title (i.e. Chronic Pain Patient, Abandoned Cancer Patient, Disabled Veteran, etc.)
PLEASE INCLUDE:
Your Name, Zip Code & State, Your Condition, Title (i.e. Chronic Pain Patient, Abandoned Cancer Patient, Disabled Veteran, etc.)
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