Advocate Interest Form

The purpose of The Liver Circle (TLC) is both powerful and deeply personal. It bridges the gap between clinical information and lived experience—giving liver patients a voice, a community, and a sense of agency in their journey. TLC is for patients, caregivers and supporters of all ages and backgrounds—whether they’re newly diagnosed, post-transplant, or navigating long-term liver disease.

Please NOTE: The Liver Circle uses your Advocate Interest Form to match you with projects that align with your passions and location where applicable. Please note: this information is for placement purposes only and is never used to exclude anyone from volunteering with TLC.

The Liver Circle offers a "choose your own advocacy adventure" approach. We have 4 Pathways for advocates to make a different. You may fall into more than one category. Tell us why!

1. The Voice

2. The Bridge Builder

3. The Community Catalyst

4. The Backbone

First name*

Last name*

Email*

State *

Are you a liver disease patient? If no, please skip the next 3 questions.*

Yes

If so, what is your liver disease?

Date of Transplant (If applicable)

Transplant Center or affiliate (if applicable)

Describe yourself (Please check all boxes that apply)*

Patient

Caregiver

Medical Professional

Liver Health Student

Supporter

Other

If you answered other above, please explain

What is your "choose your own advocacy adventure" pathway? *

The Voice

The Bridge Builder

The Community Catalyst

The Backbone

Please explain why you are interested in the pathway above*

What do you bring to The Liver Circle?*

Are you involved in any liver health advocacy groups?

Do you have any physical limitations that we need to know about? (Problems standing for periods of time, carrying weight, online connectivity issues)

If there any other relevant information we should know?

If you have an emergency, please dial 911.

All medical questions should be directed towards your physician.

Support the mission of The Liver Circle.

The Liver Circle is a registered 501(c)(3) nonprofit organization (EIN: 39-2211233).

Donations are tax-deductible to the extent permitted by law.

DONATE

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