Tell Your Story

Telling your story about being uninsured helps put a face on the issue of 'the uninsured'. Please share how being uninsured has affected your life. The information you provide here will help with the effort to alert local, state, county and federal elected officials to the plight of the uninsured and the need for policy change and how cuts to various assistance programs will impact the uninsured.

We Are The Uninsured reserves the right to edit content for length or inappropriate content, but we do not like to do this. Please keep your story to 750 words and avoid offensive language.

Optional Contact Information:

If you would like us to contact you with updates and resource suggestions, please fill out the form below. Your contact information will be kept private and will only be used for We Are the Uninsured to contact you directly.

$ per year

*Items are required for us to contact you.

that the information on this form may be shared with various city, county, state, and federal legislators, as well as possible funding sources of Neighborhood Family Practice and We Are the Uninsured. I hereby consent for my story to be used by Neighborhood Family Practice for the purpose of furthering and promoting this project:

By checking the above, I give my consent for more story to be used by We Are the Uninsured on their web site, in advertising, and a variety of other media.

CODE HINT: uppercase "J", lowercase "e", lowercase "j", uppercase "T", lowercase "u", lowercase "y"

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3569 Ridge Road • 216-281-8945 Peggi Cella at ext. 260 or Rowena Ventura at ext. 205

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