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Your Patient Story

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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

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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Email (will not be published)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 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

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Facebook Page

Twitter Profile

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Blog

Website 1

Website 2

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