Please note, the first name added here will be visible when published on our website. Contact details will not be shared.
None
{{county.name}}
A diagnosis of pulmonary fibrosis is… *
Pulmonary fibrosis has taught me… *
My message to others affected is… *
Upload a photo to be published with your contribution.
Please ensure you have permission from everyone in the photo before you share it.
Please provide images like the examples shown opposite - portrait and cropped with not too much background
Images must be in .jpg or .png format with a minimum file size of 1MB and max size of 2MB.
Drop your image here or click to browse
Current Uploaded Image: {{a.submission.image}}
cancelRemove
Yes, please contact me by email
Yes, please contact me by phone
No, thank you
Please select a consent option.
Would you like to hear from us? Keep up-to-date with the latest in pulmonary fibrosis by signing up for the APF e-newsletter. You can opt out at any time.
Submit storyarrow_right_alt
By submitting, you are providing consent for Action for Pulmonary Fibrosis to share your story on our website and securely store the information you have provided. Action for Pulmonary Fibrosis takes your privacy very seriously and we will never sell your details to a third party.
For more information about how we protect and use your personal data, please visit our Privacy Policy.
cancel
{{a.message_title}}
{{a.message}}