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Patient Story/Media Testimonial

Help us raise awareness of Polycystic Kidney Disease (PKD) by telling your story to the media.
Just complete the form below. Your details will be held confidentially.

If you prefer to download the form, click here.

Age (Optional)
Please enter a valid age

Are you willing to be involved in media interviews?
This could be across national newspaper and consumer magazines, to regional broadcast and print.

Would you be willing to share any photography or imagery with us / media?

Please provide the best contact details to arrange an interview with you (phone preferable):

Would you like to be briefed by one of our PR team before any interviews take place?

Your details will only be used by the PKD Charity to send you information about our work and fundraising appeals. You can ask us to remove you from our database at any time and we will never give your information to other organisations. Please tell us if you are happy for us to contact you:

PKD Charity is a Member of

  • Fundraising Regulator Website
  • Visit PKD International website
  • Visit Ciliopathy Alliance website
  • Visit the Genetic Alliance UK website
  • Rare Disease UK Website
  • Specialised Healthcare Alliance Website
  • FEDERG Website
  • Visit EURORDIS website
  • KPIN