Be the Bridge

Be the Bridge Volunteer Form

Join our community of Be the Bridge Awareness Volunteers!  Be the Bridge to local healthcare professionals and to ongoing care and resources for their patients with GBS, CIDP and MMN. Once you provide your name and address below, Be the Bridge packets will be mailed to you to be dropped off to your local healthcare professionals, at your convenience.

Practitioner's Information
The more information you are able to provide us about , the better we will be able to follow up with them and provide better insight into our offerings. 

Healthcare Org Address

Practitioner Information