Lupus Logo

 
 


Submit Your Personal Lupus Story

Use the form below to submit your story to the Lupus Foundation of America. Your story will be considered for publication on the LFA website, in LFA's national magazine, Lupus Now®, and other LFA communications. In addition, from time to time the LFA provides selected stories to reporters and producers who are developing news features about lupus to help explain to the public the impact of the disease on individuals and families. By submitting your story, you are authorizing the LFA to share it with others. Do not include information you wish to keep private. If you have questions about how your story may be used, please contact the LFA Marketing & Communications department before submitting it.

 
Your Contact Information: (* required fields)
Email Address:
   *
Prefix:
  
First Name:
  *
Last Name:
  *
Suffix:
   (e.g. M.D., R.N., Jr.)
Street Address:
 
City:
   *
State:
  *
Zip Code:
 
County or Parish:
   (U.S. residents only)
Country:
  
Home Telephone:
  
Work Telephone
  

Mobile Telephone

 
Age
   (You must be 18 or older)
   
Release:
  * I have read the general rules and author release and accept all terms and conditions. By checking this box, I authorize the LFA to release my personal information. Authorization will remain in effect until I notify LFA otherwise. Withdrawal of authorization cannot not be made retroactive.
 
Your Story:
 
 
 

 

 

 
© Lupus Foundation of America, Inc. All Rights Reserved. No part of this website may be reproduced without written permission.