Share Your Story

Share your story and inspire others!

Submit Your Patient Story

  • Address
  • Please let us know how or if you would like your name to appear if we use your story.
  • By default, we will share the City/State that you provide to us if we use your story. If you would prefer to have your location remain anonymous, please select "No" above.
  • We will never share your phone number. It is NOT required. We will only use this phone number if we have a question about your submission
  • Follow this format to be accepted: Tell us a little about yourself What is your connection to peripheral neuropathy? When and how were you diagnosed with peripheral neuropathy? Who diagnosed your PN? what type of PN do you have? How have you been managing your PN? what’s the number one thing that helps you manage PN the best? What do you wish people knew about PN? What inspires you to face peripheral neuropathy head-on and how do you do it? What advice would you give others going through the same journey? What is your motto to live by?
  • Accepted file types: jpg, pdf, Max. file size: 10 MB.
    Maximum file size - 10 mega bytes.
  • Accepted file types: jpg, pdf, Max. file size: 10 MB.
    Maximum file size - 10 mega bytes.
  • Drop files here or
    Accepted file types: jpg, pdf, Max. file size: 10 MB, Max. files: 3.
      Maximum file size - 10 mega bytes.
      By submitting your story/photo and clicking the checkbox above, you grant the Foundation for Peripheral Neuropathy permission to use your story, photo, first name, and city/state/country (if permission is granted herein) without any compensation to you for as long as the Foundation wishes to do so. The Foundation for Peripheral Neuropathy may use your story in whole or in part in print or promotional materials, on its website, its emails, its social media, or its communications. We will never publicly use your last name, email, or phone number. The Foundation for Peripheral Neuropathy has the right to edit or modify your submission without further approval from you. You release the Foundation of Peripheral Neuropathy and its employees, directors and agents from any direct, consequential or incidental damages or liabilities regarding use of the Submission and your name/location as designated herein. You confirm that you are 18 years or older.
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