Online registration to become participants of the Camp Lejeune Contaminated Water Disease Database

 

Database survey start date:  March 22, 2011 

     

The deadline for submission of all information and survey data will be February 29, 2012.

We will continue to receive submissions after the deadline date for future comparative database reports.

Database results will be posted on this site when the processing has been completed.

Thank you for your participation.

      Directions when applying your information.

1.       Begin by viewing the diseases by clicking on the arrow to the right of the page in the drop down box.

2.       After viewing the diseases click on the disease you wish to submit, it will turn Blue.

3.       Each disease should be typed into the box under “Enter Disease below from the Browse by Disease drop down box  above ”.

4.       Yes you can add more than one disease, if you have the disease type it in. After you have typed a disease you can add other diseases by repeating steps 1 - 3.

5.   In the sections "Please check appropriate box" Please check the box which applies to you.

6.   Please fill in the sections "Enter Dates" and "Email address" then click the "Submit Button"

 

 

Diseases can be viewed by clicking on the down arrow under "Browse by Disease"

Please check appropriate box



Please check the appropriate box if you experienced adverse health effects as a result of exposure to well water contaminated by carcinogens at Camp Lejeune.








Camp Lejeune Contaminated Water Disease Database is an independent entity, not a United States government agency, charity or business. The mission is to help understand how many people have what disease that was either caused or triggered due to exposure from the contaminated drinking water at Camp Lejeune, North Carolina

The information you submit here will be included in a database for informational purposes. This data base chart will be posted on this site in the near future. Contact email: clcwddb@comcast.net

Why do we need your email address? Your e-mail address is your key identifier to back up our account of numbers per disease, to assure you submit one time per person and to avoid abuse of our information. We are not going to spam or sell your email address to any third party.

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