Application for Membership 
North Carolina Chemical Injury Network 
A support group for residents of North Carolina, persons that are planning to move to, from, or have a North Carolina connection. 
NCCIN is a support group for persons (or support persons) with CFIDS, Fibromaylgia, Chemical Sensitivities or any illness or injury related to exposure to chemicals or the environment. Doctors and Medical personnel, Attorneys, and other professional persons are at as great a risk of having an illness or illness as anyone. We welcome anyone with Chemically Induced Illness or Injury or their support person. We exclude no one because of their occupation. This is a North Carolina Group. 

QUESTIONS? EMAIL US 

Name (required):
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I am: working
disabled
On Social Security Disability
On Workers Compensation
Personal (no comment)
A Support Person
Life is mainly:
Please check any illness that applies: MCS
CFIDS/ME
Fibromaylgia
GWS
Asthma
Food Sensitivities
Traditional Allergies