Share Your Loved One’s Blood Clot Story

About 100,000 Americans die every year from blood clots, and their lives deserve to be remembered and celebrated. If you have a loved one who has experienced a fatal pulmonary embolism, we would be honored to share their story.

Loved One's Story Submission Form

"*" indicates required fields

Where did your loved one live?*
(Spouse, child, parent, sibling, etc.)
e.g., estrogen-based birth control, long travel, surgery, hospitalization, etc.
e.g., DVT, PE, factor v Leiden, etc.
Choose your loved one's age range when first diagnosed.*
Which race or ethnicity best describes your loved one? Please check all that apply.*
Which gender best describes your loved one?*
Did your loved one have a blood clotting disorder?
MM slash DD slash YYYY
Consent*
Would like to receive communications from the National Blood Clot Alliance?*
This field is for validation purposes and should be left unchanged.

 

Questions? Contact: info@stoptheclot.org

Current News

MARCH IS BLOOD CLOT AWARENESS MONTH (1080 x 1080 px)

March Recognized as Blood Clot Awareness Month Across the U.S.

Throughout March, states and cities across the country have officially recognized Blood Clot Awareness Month, reinforcing the importance of education…
Get the full story »
Challenge icon 2025 (1)

March is Blood Clot Awareness Month

March is Blood Clot Awareness Month (BCAM), a time dedicated to spreading the word about blood clots and their potentially…
Get the full story »
Get more news »