First name:
Last name:
E-mail:
Are you a Children's employee?: Yes No
Share your story:
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you would like to share?:
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Think of a time when a patient touched your heart or when you were in an especially challenging situation. Did you do something special for a patient to make them feel better? Has one of your coworkers taken extraordinary steps to help you through a difficult situation? Maybe you found a creative solution to a problem that others could benefit from hearing about? If so, you are strong enough to care enough and we need your stories. This is your chance to inspire others by sharing your written stories or videos. Click the Submit icon on the menu above to get started.

Details
Clicking the “Submit Your Story” link will automatically send your story. You can share your story by attaching a video or a few pictures and by writing your story in the body of the email itself. When you’re ready, just send it along to the pre-inserted address just like any other email and you’re good to go.

Submission Requirements
To ensure HIPAA compliance, your story cannot contain any identifiable information about a Children’s patient. If you’re going to use a name, do not include the patient’s last name or information about the patient’s condition that would reveal his or her identity. If this is unavoidable, please download the Patient Consent Form below and return the completed document to your manager.

Consent Forms:

* Patient & Family
* General
* Employees/Medical Staff

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