We suggest writing your story in a word processor and pasting it in the box below. Remember to email an accompanying thumbnail image to firstname.lastname@example.org. You can also resize this text box by dragging down the lower right corner.
Remember to email an image to accompany to your story to email@example.com!
A little information about you (the patient)
WHY? We will use this information so that (1) other patients can easily search for stories relevant to them and (2) we can gather maintain statistics about participants.
Share your opinion (optional)
We will compile all contributors’ answers to these questions and use them in our ongoing advocacy efforts. Your personal information will never be included in anything we share.
Thank you for submitting your story! You’re almost finished.
Don’t forget to send a picture to firstname.lastname@example.org