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Every patient's story is personal and can inspire others. Please fill out the questions and consent form below if you would like to share your experience at University of Iowa Health Care.
Yes, I am age 18 or older.
Daytime Phone Number:
How and when did you become involved with UI Health Care? :
Who is your UI Health Care team (such as doctors, nurses, etc)?:
Where did you get care at UI Health Care? (please select all that apply):
Oral and Maxiofacial Surgery
Tell us about your experience at UI Health Care:
I want to know more about (please choose all that apply):
Sharing my story publicly through UI Hospitals and Clinics
Participating in radio, TV, or media interviews
Speaking at special events in my area
Volunteering at special events in my area
Do you have a public Facebook page, blog, website, or YouTube channel that you want to share with us?
Please upload any photos or other files associated with this story. If you submit a professional photo, please include a written release from the photographer.
(Multiple files may be uploaded by using a ZIP file)
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