Share Your Story with IgA Nephropathy
Having a rare autoimmune disease, like IgA nephropathy, can at times be overwhelming. Personal stories can be a powerful tool in raising awareness for this disease. Tell us a little bit about yourself and your story to help individuals living with IgA nephropathy and their loved ones feel less alone in their journey to manage their disease.
Name
Email
Age
Location
I am:
Living with IgA nephropathy
The loved one of someone living with IgA nephropathy
Other
When were you/your loved one diagnosed with IgA nephropathy?
Have you/your loved one received a kidney transplant?
How did you feel when you/your loved one was diagnosed with IgA nephropathy?
What is the main message you would like to share with the IgA nephropathy community?
What has been the most supportive resource to you in your journey with IgA nephropathy (a loved one, doctor, advocacy group, etc.)?
Is there anything else you would like to share about your experience with IgA nephropathy?
I give Calliditas Therapeutics US Inc.(Calliditas), and its agents and employees the irrevocable and unrestricted right to use any of the information in this submitted document for the purposes of publication, promotion, advertising, or trade, in any medium. I agree that all materials shall remain the property of Calliditas. I hereby release Calliditas and its agents and employees from all claims, damages and liabilities arising out of or in connection with the use or distribution of said finished products. I grant permission to use my statements, with or without my name, for the purpose of advertising and publicity without restriction. I waive any right to inspect or approve any finished products and to any compensation. I hereby warrant that I am over the age of 18 and have read and understood the contents of this authorization and release.
Agree
I am interested in participating in additional opportunities to share my experience with IgA nephropathy. By checking this box, I grant permission to Calliditas Therapeutics US Inc. (Calliditas), and its agents and employees to reach out to me directly with more information. I understand that filling out this form does not guarantee that Calliditas will contact me.
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