Please fill out the form below. Thank You.


I'm am reorganizing this page. I'm making a database in order to help find children and people with birthmarks or hemangiomas living in the same area or have their birthmarks or hemangiomas in the same location on their bodies. Please fill out the whole form. Your addresses and phone numbers will not be added to the internet support pages and will only be released to others with your permission.
Name:
State or Country you are from:
Email:
Location of birthmark:
Please enter your address.
Phone:
Please tell us about your child's birthmark or hemangioma experience.

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