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
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