Hello!

I'm not sure why you're here or how you found this page but I've just set up a forum for those who are either long-term (at least 3 consecutive years) undiagnosed or have been diagosed with a rare illness... this page and forum is for you!

All you have to do is fill in the form below send it to me using the nifty little button at the bottom and wait to hear from me.

Whatever you put on the form stays with me and I won't give the info you write to anyone other than those in authority for your own safety.

Whatever is said on the forum stays on the forum... the members are trusting you with confidential information about their health like you are trusting them with your information - the most important rule is to treat others how you want to be treated... I'll give each and every one of you 3 warnings before I remove you from the forum - if you are planning on spamming the forum, don't waste my time and even think about joining otherwise I'll report you to your ISP and ask them to remove your account - I can't work because of my disability so I've got all the time in the world to track you down and report you!

OK, enough negativity! Onto the form!

Name:
Email Address:
Are you male or female? Male
Female
My age is: Under 18 years old
18 years old or over
I've been diagnosed with a rare illness: Yes
No
My diagnosis is/are:
Illnesses I was tested for that came back negative:
Anything else I want Amanda to know:
I'm happy to receive emails selling things and giving information that might or might not help me: Yes
No

Create a web form here