Submit this form if you are living with kidney disease or kidney failure, either on or off dialysis.

It is a place to share your story if you are NOT necessarily looking for a donor right now.

Please give as much information as you are comfortable with.

Read stories from others living with kidney disease

Name *
The city and state where you live.
Do we have permission to tag you in social media posts about your story in order to reach more people for awareness? *
Facebook, Instagram, Twitter, YouTube etc.
Do we have permission to share your story on our website and social media? *
Would you be able to email us a picture of yourself for the post? *
This is required. Email to OR give us permission to choose something from your social media.
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.