Advocacy Referral Form
Thank you for expressing interest in the Pathfinders Neuromuscular Alliance Advocacy Service. 

Please read through the following information before proceeding:
  • Please be aware that due to insurance purposes, we are currently unable to provide legal, medical, immigration or tax advice. 
  • Our role is to listen to you, help you explore your options, and provide you with information so you can make informed decisions. We are unable to advise you on the best approach to take. We are able to provide letters for you to share with professionals where that is appropriate. 

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Email *
Are you filling this form in for yourself, or are you referring someone else? *
If the person with a muscle-weakening condition is present and answering the questions, whether or not they are receiving support to fill this form in, please select "I am requesting advocacy support for myself". If they are not present and you are answering the questions on behalf of them, please select "I am requesting advocacy support for someone else".
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