Share Your Story

When you tell your story to the Chronic Disease Coalition, we share it with elected officials, the media and the general public to help educate people about what it’s like to live with a chronic disease. You help influence law and policies across the nation. If you have questions about how we use these stories, please email joinus@chronicdiseasecoalition.org

Basic Information

Name

First Name *

Last Name *

Email *

State *

Patient

Caregiver

Friend or Family Member

Supporter or Other

I am a...

Chronic Disease Information

What chronic disease do you have and/or how has it impacted your life?

Do you or someone you know have experience with...

Step Therapy

Prior Authorization

Telehealth

Medigap

Copay Accumulators

Non-Medical Switching

Other Health Care Discrimination

Would you like to add anything about any experiences you have with the above?

Is there anything else you would like to share about your chronic disease experience?

Do you agree to receive email updates and notifications from the Chronic Disease Coalition?

Yes

By completing this form, you agree that the CDC can share your story with lawmakers, online, in-person and in educational and promotional materials. We tell patient stories to advance our mission of patient-centered care. We do not sell or give patient contact information to any other company, organization or individual without your permission. Visit our Privacy Policy to learn more about how we use your data.

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Share Your Story

Basic Information

Chronic Disease Information

CJ Walker

Heather Guidone, BCPA

Maureen Sullivan-Tevault

Lauren Beach

Anna Williams

Victoria Cotero