Tell Us Your Story
We want to hear about your experience!
Too often, issues like yours go unnoticed or ever addressed because we didn't have the opportunity to tell it when it happened. Well not anymore.
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Your Full Name
How Did You Hear About Us?
Healthcare Facility (In Hospital, Brochure, Advertisement)
Healthcare Employee (Doctor, Nurse, Physician)
Social Media (Facebook, Linked In, Twitter, Instagram)
Word of Mouth (Friend or Family)
What Are You Comfortable With Us Sharing About Your Story?
Only Share My Story
You Can Share My Story and Location
You Can Share My Story, Location and My First Name
Tell Us About Your Experience With The Healthcare System.
Has this solution been addressed or do you have some resolve?
Yes, this specific issue was addressed
Yes, this issue was addressed, but I feel it can happen again
No, this issue was not addressed and it continues today
Why do you feel this situation happened in the first place? (ex: Hospital Procedure Failure, Staffing or Training Gaps, Bias or Racism)
What would you like to see happen as a result of your experience?
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