[contact-form subject=”LOVME FAQ – Iraq War (OIF/OND)” to=”aolegacy@gmail.com”] [contact-field label=”Name” type=”name” required=”true” /] [contact-field label=”Email” type=”email” required=”true” /] [contact-field label=”Relationship with 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” required=”true” /] [contact-field label=”Type of Military Exposure” type=”radio” required=”true” options=”Burn Pits,Depleted Uranium (DU),Sand and Dust and Particulates,Toxic Embedded Fragments,Sulfur Fire (Al Mishraq, Iraq),Chromium (Quarmat Ali),Traumatic Brain Injury,PTSD,Occupational Hazards,Vaccinations,Medications” /] [contact-field label=”If you chose Occupational Hazards please chose 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 that applies” type=”radio” options=”Anthrax,Botulinum toxoid,Standard series of innoculations for infectious disease” /] [contact-field label=”If you chose medications please choose which one applies to the veteran” type=”radio” required=”true” options=”” /] [/contact-form]
- Vietnam
- Gulf Wars
- Cold War Era
- Military Installations
- PTSD/TBI
- Other
