[contact-form subject=”LOVME FAQ – Gulf War” to=”aolegacy@gmail.com”] [contact-field label=”Name” type=”name” required=”true” /] [contact-field label=”Email” type=”email” required=”true” /] [contact-field label=”Relationship to Veteran” type=”select” required=”true” options=”Veteran,Spouse,Widowed,Divorced,Child (biological),Grandchild (biological),Great-grandchild (biological,Other” /] [contact-field label=”If you chose other please tell us your relationship to the veteran” type=”text” /] [contact-field label=”Type of Military Exposure” type=”radio” options=”Gulf War Illness,Chemical and Biological Weapons,Oil Well Fires,Depleted Uranium,Sand and Dust and Particulates,Toxic Embedded Fragments,CARC Paint,PTSD,Occupational Hazards,Pesticides,Vaccinations,Medicaitons” /] [contact-field label=”If you chose Occupational Hazards please choose which applies to the veteran” type=”radio” options=”Industrial Solvents,Lead,Radiation,Fuels (Petroleum and Oils and Lubricants,PCBs,CARC Paint” /] [contact-field label=”If you chose Vaccinations please choose which one applies” type=”radio” options=”Anthrax,Botulinum toxoid,Standard series of innoculations for infectious disease” /] [contact-field label=”If you chose Medications please chose which applies to the veteran” type=”radio” options=”Pyridostigmine Bromide (PB),Mefloquine (brand name Lariam Ā®)” /] [contact-field label=”Please submit your question. We will answer you as soon as we are able.” type=”textarea” /] [/contact-form]
- Vietnam
- Gulf Wars
- Cold War Era
- Military Installations
- PTSD/TBI
- Other