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Your Patient Story

Submit Your Patient Story

Please note: all submissions are reviewed by Patients Rising before being posted to the site.

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Butterfly
Cat
Coffee
Dog
Hands
Heart
Mountain
Rainbow
Stones

Profile Image

First Name

Email (will not be published)

State

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 and Affordability Issues (check all that apply)

Access to Expert Providers
Access to Medicine
Copay Issues / Out of Pocket Costs
Insurance Issues
Medicare / Medicaid Issues
Medical Records Access
Mental Health Access
Rare / Underserved Disease
Surprise Billing
Transportation

Additional Issues (check all that apply)

Abuse (Mental, Physical, Elder)
Addiction / Substance Abuse
Caregiving
Copay Accumulator
Disability
Discrimination (nonmedical)
Financial Assistance
Food Insecurity
Gaslighting
Geography
Housing
Invisible Illness
Involuntary Hospitalization / Commitment
Job Insecurity / Loss
Legal
Lodging
Medical Devices
Medical Discrimination
Non-Medical Switching
Nursing Home / Assisted Living
Oral Parity
Power of Attorney
Premium Payments
Prior Authorization
Social Security Disability
Step-Therapy / Fail First
Suicide / Self-harm
Transparency in Health Care
Underserved Community
Veterans Affairs

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

LinkedIn Profile

Blog

Personal Website

Business Website

Optional - please upload up to 4 images that you would like to include with your story.

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