Join Our National Directory
Complete the Patient Advocate Profile Form Below

The decision to submit your profile is an important one. Helping people in times of need is an honor, but it’s also an incredible responsibility. Because our website is highly visible, advocates must be prepared to receive inquiries from the public and be able to provide assistance when people call.


GNA may exercise discretion whether to publish submissions and GNA retains the discretion to remove or modify any submission at any time with or without notice.

Step 1
Your Name and Professional Credentials

Please provide your name followed by your credentials as you would like them to appear in the directory.  Please don’t include your job title or employment affiliation in this section.

The following are examples of how you should submit your name and professional credentials:

Judy Smith, LCSW, CCM
Ellen Morales, RN, iRNPA
Joseph Waterman, MSW, BCPA

Please choose your main advocacy specialty

Please select an additional service you offer if applicable

All Advocates have a unique page name on the directory. Your page name becomes part of the URL for your advocate profile:


Examples:


No spaces or special characters allowed. Please note that after you choose your page name you will NOT be able to change it.


Do not type "https://gnanow.org/advocate/" just the page-name you would like

Step 2
Your Employment or Affiliation Status

This is the email address we will use to notify you when someone sends you an inquiry from your GNA profile page. For your privacy and security, GNA does not publish your email address to the public. It’s important that you provide an email address that you check regularly.

For your privacy and security, GNA does not publish your number to the public. Instead, GNA provides each advocate with their own unique, directory-specific number. When someone calls you from the directory, the call is forwarded to the phone number you provide here.

Describe your geographical practice boundaries and restrictions

Step 3
Education & Advanced Degrees

Provide any secondary and/or advanced degrees.

Here are examples of how you should provide your education details:

Northern State University, Ph.D. Social Work, 1992
Sunshine County Community College, A.A.S. Communications, 1987
Sarah Wilson College, M.A. Public Health, 2004

Training, Continuing Education & Memberships

Please list any additional information about your experience and abilities. This may include Accreditations, Certifications, Certificates & Memberships in relevant organizations. You can also include Volunteer Work, Service on Boards of Directors, Awards, Presentations or Publications.

Step 4
How You Help Patients and Loved Ones in Crisis

This is the most important information you can provide to directory users. If you focus on a particular type of advocacy or if you’re seeking a particular type of client, you should specify that here. Concentrate on your strengths and explain, in a concise and informative manner, how you can help.

Your Patient Advocacy Story

Every Patient Advocate has a reason for joining the profession. Here’s your chance to let the public know what inspired you to help others.

Step 5
Additional Skills & Attributes (Optional)

Please highlight any additional skills, interests or experiences that could help patients and families in need. Examples include proficiency in a foreign language, familiarity with cultural or religious beliefs, military service or personal experience with a condition or procedure.

Insurance Information

Do you carry professional liability insurance ?

Profile Photo (Professional Quality Recommended)

If you already have a professional headshot, please upload it below. If not, please read these Headshot Guidelines.

Maximum file size allowed is 5MB. Acceptable file types are .jpg, .png, and .gif.

By clicking the Submit Profile button, you acknowledge that you understand and agree to the GNA Terms of Use.