Home / Share Your Story Share Your Story Stories are a powerful tool to help lawmakers, the media and the public understand the need for affordable, quality health care. If WHAT has helped you in some way or positively affected the life of someone you know, tell us here!Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *AddressAddress Line 1Address Line 2CityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeFor Students/Youth, Patients, Parents, Teachers, Support Staff:Please check all that apply. I am a:Student/YouthPatientParentTeacherSupport StaffIs there a WHAT Wellness Center at your school?YesNoPlease answer the following questions if applicable:If you would have received health service somewhere outside of your school-based health center that day or later, where would that have been?Are you/the person you're writing about covered under a health insurance plan?YesNoHow were you/the person you're writing about impacted by your visit to the school-based health center?How were your peers impacted by their or your visit to the school-based health center?What if, any, impact did your/the person you're writing about's visit have on school or family?Your StoryWilmington Health Access for Teens advances access to quality health care for youth. All stories are valuable. Will you share yours? You might consider using one of these prompts to help you get started telling your story: I couldn’t go to a doctor because…. At my school-based health center I was…. My experience with health care would be better if…. If it weren’t for the help I received at my health center… I appreciate that at my school-based health center…. Because I didn’t have health insurance…Share your story here. Make it as long or short as you like. Every comment or criticism is helpful!May we have permission to share your story?NoYesPlease type your full name to confirm you allow us to publicly share your story in the ways you select below.By selecting "Yes" and typing my name above, I give permission to Wilmington Health Access for Teens to use my story in the following ways: *In print (newspapers, newsletters, brochures, presentations, etc)On our website or social mediaWith pictures of meOn video or audio, including TVI'd like my story to include, if applicable:Real names, including my ownPlaceholder/Anonymous names like Jane or John Doe, or WHAT patientAre you willing to share your story with others in person? *YesNoNameSubmit Your Story
