Your Patient Story Submit Your Patient Story Please note: all submissions are reviewed by Patients Rising before being posted to the site. All fields are required except where indicated. Please choose or upload a profile image. Upload your own Butterfly Cat Coffee Dog Hands Heart Mountain Rainbow Stones Profile Image First Name Email (will not be published) State --- not set --- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Caronia South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZIP Diseases (check all that apply) Blood Disease Bone / Muscle Disease Cancer Chronic Pain COVID-19 Ear / Nose / Throat Disease Endocrine Disease Eye Disease Gastrointestinal Disease Genetic Disease Heart Disease Immune Disease Kidney Disease Liver Disease Lung Disease Mental Health Migraine Neurological Disease Rare Disease Reproductive Disease Skin Disease Urological Disease Access to Care Issues (check all that apply) Issues Based on Location Access to Expert Providers Copay Issues Coinsurance Issues Oral Parity Out of Pocket Costs Premium Payments Price Transparency Rebate Sharing Copay Accumulators Health Insurance Coverage is Inadequate Medical Discrimination Non-Medical Switching Step Therapy Surprise Billing Your Story Your Motivation or Inspiration Optional - please add any links to your social media profiles, blog or websites (personal or organizational). Please use the complete address in each case, e.g. https://twitter.com/patientsrising. We recommend copying the address from your browser's address bar. Facebook Page Twitter Profile Instagram Page Blog Website 1 Website 2 Optional - please upload up to 4 images that you would like to include with your story. Add new I have read and agree to the Terms of Use. I accept.