Share your story with Kidney Connect.

If you need a kidney, fill in the form below, and we’ll use the information to a create a press release to send to your local media market. We take your privacy seriously and will only use the information you provide on this form to generate a press release in an effort to find a kidney donor. This press release will only be sent to journalists with your explicit approval. Otherwise, your information will be kept strictly confidential and will not be shared with any third parties without your explicit approval. If you have any questions, please email ar4258@columbia.edu

Name

Please provide an email you check regularly, as this is how we will get in touch with you to approve the press release

Do you have a microsite with the National Kidney Registry? If so, link it below. If not, write N/A.

If you do have a microsite with the National Kidney Registry, you do not need to repeat information on your microsite in the form below. We can use information from your microsite in this press release. If you do not have a microsite, consider making one: https://www.findakidney.org/microsites/

Tell us about yourself.

Discuss your family, career, hobbies, interests, causes that you care about — anything that means a lot to you, or that you would want included in a story about your search for a kidney. 150-200 words is ideal.

{name}

When did you learn that you have kidney disease? What is your current state of health?

{name}

Your kidney can come from anywhere. Which places have you lived or have some other personal connection to? For each place, please describe your connection in detail.

Establishing a strong connection to each place is important to tell a compelling story to your local media market.

{name}

Please attach at least three photos below that can be included in a press release. Lean toward submitting as many high quality photos as possible.

You can also record a video in which you describe your search for a kidney.

Attach file

Drop files here

Check the box below if you would be open to joining a call with Kidney Connect to discuss your story in more detail.

Check the box below if you are open to writing a piece for your local newspaper about your search for a kidney

We can provide assistance with how to write the article!

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