IPF - I am Prepared to Fight
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PATIENT KIT ORDER FORM

Patient Kit Patient Kit: Receive the patient kit, which provides a comprehensive overview of IPF including an educational patient brochure, video, and DVD.

To order, please fill out the form below. (* required field)

Patient kit
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(for shipping purposes only)
Yes, I would like to receive updates on information and programs related to IPF.

InterMune is committed to protecting the privacy of your personal information. The information you give will only be used to provide you with the materials specified. When you submit personally identifiable information you consent to its disclosure and use for these purposes. We may share your information with our partners who facilitate the delivery of these materials. If you ever decide that you do not wish to receive further materials or if you have any comments or questions regarding this Web site, please send an e-mail to medinfo@intermune.com. We will address any issues to the best of our abilities.

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