Register – chia.org.in

Parent Registration

Join India’s first ever Parent Support Group exclusively dedicated to Congenital Hyperinsulinism in India. The CHI India Association (CHIA) parent support group aims to better the life of children and their families with Congenital Hyperinsulinism by providing national platform to collaborate with advocacy organizations from India and people living with rare diseases, promote patient led research and participate in development of public policy and its implementation as well as organize family conferences and bringing all the families together.

Parent Support group Board Member

Mr. Suresh Kumar Khemka

Board member,
Parent Support Group for Congenital Hyperinsulinism India Association (CHIA).

Mr. Surendra Kumar Choudhury

Board member,
Parent Support Group for Congenital Hyperinsulinism India Association (CHIA).

Mrs. Sanjana

Board member,
Parent Support Group for Congenital Hyperinsulinism India Association (CHIA).

User Email *

User Password *

Phone Number *

Confirm Password *

Patient’s First Name *

Date of Birth *

Patient’s Father Name

Relationship to Patient *

Diagnosis of Congenital Hyperinsulinism established? *

Would you like to get regular update from CHIA?

Patient’s Last Name *

Gender *

Male
Female
Prefer not to Say

Patient’s Mother Name

Patient’s Age

City

State

Comment

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chia.org.in

Parent Registration

Parent Support group Board Member

Mr. Suresh Kumar Khemka

Mr. Surendra Kumar Choudhury

Mrs. Sanjana

Please join the parent support group on our social media platform.