RA Volunteer Stories

 

Thank you for wanting to share your story with Hand in Hand for RA and inspiring others with RA to give back. Please read and fill out the short questionnaire below to submit your volunteering story to be published on www.handinhandforRA.com.

Title:

First Name:*

Last Name:

Email Address:*

Telephone:

City:

State?

Zip Code?

Have you been diagnosed by a medical professional with RA?  Yes   No

If No, what is your relationship to the person with rheumatoid arthritis (RA)?

I am the person

Friend

Spouse/Significant Other

Health Professional

Relative

other

Gender:

Male Female

Year of Birth:

Are you currently being treated for your RA? No   Yes   

If Yes, which treatments are you currently receiving?

How would you characterize your RA? Mild   Moderate   Severe   Not Sure

Your Story:

 

Your Photo

In addition to sharing your story with Hand in Hand for RA, would you be interested in sharing your story with the media?  Yes   No

If you click yes, a representative for this Web site may contact you in the future. What is your preferred method of contact?

By Phone   By Email   Snail Mail

Thank you for taking the time to fill out this form. If your story is approved, you will be notified when it is posted. Privacy Policy