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Lung HelpLine Submit a Question to the Lung HelpLine

Submit your question online to The American Lung Association HelpLine staff. Upon receiving your question a staff member will seek out the answers and respond via email. To submit your question please complete the form below. Required fields are in BOLD. If you'd prefer to speak directly to a staff member you may call 1-800-LUNG-USA during regular business hours.

   Are you associated with a business or corporation?  Yes  No
First Name     Last Name
Address   
City    State: ZIP:
Phone   
Email Address   
Gender    Female    Male
Ethnicity   
Birth Date   //
   Would you like to receive a call from the Lung HelpLine?  Yes  No
If yes, when should we call?:    (CST)
   Would you like to receive an email response to your Lung Health questions?
   Yes  No
   Would you like to receive printed materials related to your question?   Yes    No
Is there a specific problem you would like to discuss?
If so, describe below:
How did you hear about the Lung HelpLine?