Tell Us Your Self-Advocacy Success Story

Are you successfully using some of these skills and strategies to stand up for your health? Or maybe you are using some other strategies that work for you. Either way, we want to hear from you.

Tell us what you have done to get your best care and treatment and become a powerful patient. We may use your story to educate and inspire others. We will always keep your name confidential, unless you provide permission for us to use it.

Using the following questions to guide your response, describe how you stand up for your heath and make sure you get your best care and treatment.

Required Information

Please provide us with the following information to complete your request.

Optional Information

In order to keep you informed with relevant news, events, and updates, we ask that you provide us with this optional information.

Your Story

(please keep to 500 words or less)