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Anencephaly Network



Have you received the diagnosis of anencephaly for your baby?
Are you searching for other parents who have experienced what you are now feeling?
Would you like more exchange than the reading of personal stories?
Do you want to correspond with other parents who have experienced what you are facing?

OR

Have you given birth to a baby with anencephaly?
Are you willing to share your experiences with others through a personal relationship?

Join the "anencephaly-network" and we will do our best to put you in touch with other parents who live as close to you as possible.

Please take a few moments to fill out the following form. You can be absolutely sure that we will never provide your information to anyone else, so you can be assured of complete privacy.

Your full name: *
Your full postal address: *
Town: *
Zip code: *
State / Region of your country: *
Country *
Phone number: 
E-mail: *
Name of your baby with anencephaly: *
Sex of you baby with anencephaly: *
At how many weeks was your baby diagnosed: *
If you're still pregnant, when is your due date:
At how many weeks of pregnancy was your baby born: *
Was the birth induced? *
If your baby survived the birth, how long did he or she live:*
Your baby's birthday: *
Do you have other children and, if so, how many and their ages: ?
What else would you like to share:
I agree that my details can be forwarded to other parents of the "anencephaly network". Name and Date: *

 

 

All fields with * must be completed

 

After successful registration, you will be directed to a French page. Don't worry, that's normal. Just hit the "back" button of your browser or use the link to come back to the anencephaly information pages. 

 

 

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