Contact Information

By submitting this form, I agree that the information I provide for myself or my child may be used by the Child Neurology Foundation and their Peer Support Specialists solely for my participation in the CNF's Peer Support Program, which provides peer support and helpful resources for the journey of disease diagnosis, treatment, and management. I may revoke this consent by contacting CNF at

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Relationship to Child
Disease or Diagnosis
How did you hear about peer support?

Your message to Peer Support:

In order for us to best respond to your needs please fill out the additional comments section below with detail about how we can help you. Tell us about you, your child, or ask a question. A Peer Support Specialist will follow up via email within 2 business days. 


Please note that we are not able to provide medical advice such as reviewing medical records or EEGs.

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