Tell Us Your Story to Share On Capitol Hill

IBDMoms Founder & President Brooke Abbott, along with other advocates and activists, visits Washington, D.C., a few times a year to advocate for legislation that affects GI diseases and healthcare coverage. We share our stories to help increase awareness of particular issues while lobbying Congress on specific policies and pieces of legislation. Patient, Care partner & Health Care Provider stories are crucial to advancing healthcare policies in Congress. We would love to share your story with members of Congress. We will take your story with us to Congress to positively impact legislation that will help people with digestive diseases.

Date *

Name *

First

Last

Email *

Address

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

No need for the entire address, just the city and state. The city and state is most important.

Your Relationship To IBD *

• Patient
• Care Partner
• Health Care Provider
• Patient / Care Partner
• Patient / Health Care Provider
• Care Partner / Health Care Provider
• Patient / Care Partner / Health Care Provider

What Form of IBD? *

• Crohn's Disease
• Ulcerative Colitis
• Indeterminate Colitis

Legislative Concerns *

• Step Therapy
• Maternal Health
• Drug Pricing
• Co-Pay Accumulators
• Healthcare Access
• Healthcare Disparities
• Gender or Racial Discrimination
• Nutritional Therapy
• Research & Development
• Disability & Medicare
• Pediatric Healthcare
• Other

Please choose all that apply

SHARE YOUR STORY BELOW

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File Upload

Click or drag files to this area to upload. You can upload up to 3 files.

If you have anything you would like to share with your member of congress. I.E. Pictures, information, etc.

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