What is Your Keratoconus Story?
Spread keratoconus awareness and help other patients by sharing your keratoconus experiences on our blog. Please fill this form to submit your story and send one or more photos for the blog post to our email: story@keratoconusgroup.org
Name: *
First and last name. this will be added to your story. nicknames are not accepted.
Your answer
Email address: *
We will use this to contact you.
Your answer
Your Keratoconus story: (Must be at least 1500 characters) *
You can write anything about Keratoconus, about your diagnosis, any treatments you had or your are going to have, and how you are living with this disease. Make sure to include a title for your story.
Your answer
Please send one or more photos for the blog post to our email: story@keratoconusgroup.org
Facebook, Twitter, or LinkedIn address/URL: *
At least one online profile is required.
Your answer
How did you hear about us?
This is optional.
Your answer
Tell us a little about yourself:
A short bio for your blog post. This is optional.
Your answer
By submitting your story and photos, you agree that they may be published and shared on the Keratoconus Group blog and in our online communities and social profiles. *
Required
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