Marion County Multiple Sclerosis Self-Help Group, Ocala, Florida Mailing/Mentor Sign-up
If you would like to join our mailing list, please complete the form below and click submit. We look forward to having you be part of our group.Yes I Want to be on your Mailing List*First Name *Last Name *Address *City *State *Zip Code *Phone Number *Email Address: *Do you have MS?I have MSMy spouse/relative has MS My friend has MSJust Curious about MS How did you hear about us?Know Someone in MCMSGroupReferred by Dr./HospitalWeb search Freewebs Member Newspaper Seminar NMSS MSAA MSF Other, Please Specify Please Type any Additional Comments Below and Click SubmitIf you would also like to be a Mentor Please click below and complete the additional profile, etc. Then click submit. (Please send a picture of yourself to be included with your mentor profile to mcmsgroup@aol.com ) We look forward to having you be part of our Mentor Family.Yes I Want to be a MentorName I want to be called online Email Address I want my Mentor Mail to Come to Please Type Your Attitude Towards Life (This will come up in your online Mentor Profile)MS Treatments Taken In PastAvonex Betaseron Copaxone Novantrone Rebif Tysabri Other Please Specify if Other MS Treatments Currently TakingAvonex Betaseron Copaxone Novantrone Rebif Tysabri Other Please Specifiy if Other Year Diagnosed Any Additional Comments Contact: Jean McGrail, Facilitator (352) 207-4251 Email: MCMSGroup@aol.com Debbie Dann, Co-Facilitator Email: DebbieJoDD2@aol.com
Contact: Jean McGrail, Facilitator (352) 207-4251 Email: MCMSGroup@aol.com Debbie Dann, Co-Facilitator Email: DebbieJoDD2@aol.com
Contact: Jean McGrail, Facilitator (352) 207-4251
Email: MCMSGroup@aol.com
Debbie Dann, Co-Facilitator
Email: DebbieJoDD2@aol.com