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Share Your Healthcare Story (Anonymous Submission Form)


Your experience can help improve healthcare transparency and patient rights.
You may keep details general or change identifying information.

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This form does not collect your name or email. You may change details to protect your identity.

When did this happen? (Optional)
Month
Day
Year

By uploading files, you confirm that you have the right to share them and that you understand they may be stored and used in anonymized or de-identified form for advocacy and writing projects.

I will make reasonable efforts to remove identifying details before using or sharing anything you submit, but I cannot promise that redaction will be perfect. Please do your best to redact sensitive information first.

Why This Project Exists

Healthcare billing can be confusing, overwhelming, and intimidating.
Many patients feel unheard, pressured or unsure of their rights.
This project collects real patient stories to help identify patterns, improve transparency, and support advocacy efforts.

Every story helps others feel less alone and helps build a clearer understanding of what patients are experiencing.

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Privacy Note

Submissions are anonymous. You may change identifying details.
Independent patient-led project. Not affiliated with any hospital, clinic, or insurance company.
Not legal or medical advice.

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Want to understand your rights or your bill?

→ Patient Rights Guide (*Coming Soon)
→ Understanding Medical Bills (*Coming Soon)

This email will NOT be connected to your story submission.
The two forms are stored separately.

Help others find this project

If this resonates, you can help by printing a flyer and posting it on a community board (with permission).

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Flyer (8.5×11) - “Print at home” - (PDF Download)

Flyer (4.25x5.5) - "Print at home" - (PDF Download)

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Quick posting tips:

  • Ask the business first (coffee shops, gyms, laundromats, community centers).

  • Tape neatly, don’t cover other notices, remove if asked.

  • Share the link instead if posting isn’t allowed.

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Please only post where permitted. This is an independent patient-led project, not affiliated with any hospital, clinic, or insurer.

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