Form

Patient Support Volunteers are seasoned Sjögren's patients who are willing to receive calls from newly diagnosed Sjögren's patients. They provide them with support and Sjögren's information, especially about day-to-day living, coping strategies and available resources. They are encouraged to share their personal experiences with callers but they refrain from giving medical advice.

The Sjögren's Foundation would like to continue to grow this wonderful support program. We are looking for qualified volunteers throughout the country to be part of our growing support network.

First Name*

Last Name*

Email*

Phone Number*

Street Address*

City*

State*

Postal Code*

Country*

Are You a Member of the Sjögren's Foundation?*

Yes

Unsure

How long ago were you formally diagnosed with Sjögren's?*

Please share with us a bit about your experience with Sjögren's. Please include what types of support you have sought and used on your own Sjögren's journey.*

Resources you use for learning about and keeping up to date on Sjögren's. Check all that apply:*

What interests you most about being a Patient Support Volunteer?*

I understand that if I am chosen to become a Sjögren's Foundation Patient Support Volunteer, my contact information will be made available to people seeking support through the Foundation*