KIDNEY TRANSPLANT RECIPIENT

Submit this form if you have received a kidney transplant. Please give as much information as you are comfortable with so we can tell your story.

Read other kidney transplant stories

Name

First Name

Last Name

Email Address

Location

The city and state where you live.

When was your kidney transplant? What hospital? Was it a living donor or deceased donor?

When were you diagnosed with kidney failure? What was the cause?

Explain how kidney failure affected your life?

How has getting a kidney transplant changed your life?

What do you want people to understand about kidney transplants?

Any other details about your kidney transplant story.

Any social media accounts we can tag to help promote awareness on Facebook, Instagram, Twitter.

Do we have permission to tag you in social media to reach more people?

Yes

No

Do we have permission to share this story on our blog and social media?

Yes

No

Would you be willing to email us a picture of yourself for the blog?

This is required for the post. You can email photos to info@getloudforkidneys.org or give us permission to select from your social media.

Yes

No

Would you like to be signed up for the Get Loud for Kidneys newsletter?

Get notifications about new kidney blog posts, kidney stories and upcoming events and advocacy. Minimal emails - I promise. You can unsubscribe at any time.

Yes

No

#GetLoudForKidneys

#AwarenessCreatesChange

KIDNEY TRANSPLANT RECIPIENT

Submit this form if you have received a kidney transplant. Please give as much information as you are comfortable with so we can tell your story.

Read other kidney transplant stories