InterACT (formerly Advocates for Informed Choice)

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Amount

$250

$100

$50

$25

Donation Schedule

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Contact Information

Name

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We are so thankful for your generous gift. What compelled you to give to interACT at this time?

How would you characterize your connection to the movement?

I am a family member/friend of an intersex person

I am a human rights activist/ally

I am a student and care about intersex rights

I am an intersex person

I am part of the LGBTQ community

I am a health care provider

I am a family member or friend of an intersex person

Please select what best defines your relationship with an intersex person

Parent/Guardian

Spouse

Grandparent

Sibling

Extended family (ex. aunt, uncle, cousin, etc.)

Friend

Are you a Mental Health Care Provider?

Yes

Please Specify

I am a

Psychiatrist

Psychologist

MSW

Other

Are you a Medical Care provider?

Yes

Please Specify

I am a

Nurse Practitioner

Nurse

Other

Mental Health Provider Other

Please describe

Medical Health Provider Other

Please describe

What would you particularly like to see from interACT in the future?

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