If you'd like to share your personal story with us, we'd love to hear it.

Are you a doctor who has been affected by the executive orders on immigration?
Are you a patient whose life has been improved by a doctor who immigrated to the United States?
We'd love to know your stories—as doctors, patients and neighbors all across America.

All the questions below are optional: only tell us what you want to share.

If you'd prefer to email us your story rather than submit via Google Forms, send us an email at stories@immigrantdoctors.org

Your name:
If you're not comfortable sharing your name, feel free to use a descriptor like "Patient in Arkansas" or "Iranian Doctor", or leave this blank.
Your answer
Where your story takes place:
You can put whatever you feel comfortable with, like "Columbus OH", "Ohio," "The Midwest", or leave this blank.
Your answer
Tell us your story:
It can be as long or as short as you like.
Your answer
You can share with us privately, or publicly:
Tick each box that you'd like to agree to.
Your email address:
Optional, but if you want us to contact you, we'll need your email. We won't share this publicly.
Your answer
Anything else you'd like to tell us?
Your answer
If you gave us permission to post your story on www.immigrantdoctors.org, it may be condensed or lightly edited for grammar and spelling before appearing online.

At any time, if you would like to withdraw your consent for us to share your story or contact you further, let us know at stories@immigrantdoctors.org. We will honor all requests.

Thank you!
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