To qualify to receive an Educational Essentials Kit, you or your child must have been diagnosed with celiac disease through a biopsy within the past 12 months. You will need to provide your screening and diagnostic test information and your physician contact information. By submitting this form, you give us permission to use the data provided to further our mission. We respect your privacy: no data collected will be shared.
Please answer the following questions regarding your celiac disease diagnosis:
Based on the information you provided, you're not eligible to receive a Educational Essentials Kit at this time.
If you were diagnosed through blood tests, please email a signed letter from your doctor on his or her letterhead to [email protected], certifying you were diagnosed in accordance with newly published guidelines on diagnosing without a biopsy.
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Screening & Diagnostic Information
Location of Biopsy Procedure
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