Clincian Story Submission

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First Name *

Last Name *

Professional Credential *

Title

Affiliated Healthcare Facility if applicable

Please copy and paste your story below *

Email address *

HIPAA Compliance

IMPORTANT! Review your story for any protected health Information. To ensure you do not violate HIPAA regulations and divulge any information that would threaten the privacy of your patients, abstain from noting any demographics of patients. Here are some additional helpful tips from the Association of Health Care Journalism: http://healthjournalism.org/resources-tips-details.php?id=12#.V4kjZ_krLIV. We reserve the right to edit your story to preserve HIPAA guidelines.

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This form was created inside of Health Care Without Harm.