Rural Healthcare Story Submission Form
Share a rural healthcare story and tell us how it may be used. Please avoid identifiable or sensitive medical details.
Submitter name
*
First Name
Last Name
Email address
*
example@example.com
Your role or relationship to the story
*
Please Select
Patient or community member
Healthcare professional
Caregiver or family member
Community organization representative
Researcher or educator
Other
Community or location
*
Story headline
*
Story category
*
Please Select
Access to care
Community health resources
Healthcare workforce
Telehealth and technology
Community initiative or solution
Personal perspective
Other
Story text
*
Optional non-sensitive context or background. Please do not include details that could identify an individual or sensitive medical information.
Preferred attribution
Name
Name and role
Anonymous
Submit story
Should be Empty: