All Children's Hospital Telethon

Share Your Story - All Children's Hospital

share your story

If you've got a story about All Children's Hospital, please take the time to share it with us by filling out the form below. All stories will be reviewed and, with your permission, an ACH staff member will contact you about using your story on this Website and in our print publications. Please note that items marked with an asterisk (*) are required fields.

First Name * 
Middle Name 
Last Name * 
Name Suffix 
Email Address * 
Phone Number *  () - Ext.
Address 2 
Hospital Relationship * 
ACH Employee 
Family Member 
Medical Staff 
Patient/Former Patient 
Your Age * 
I am Under 18 years of age 
I am Over 18 years of age 
All stories submitted by persons under the age of 18 require written parental consent prior to publication.
Privacy Notice  Please check this box to indicate that we have provided you with a link to our notice of privacy practices.
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Name your Story * 
Story Author Name * 
Story Location 
Photo  (gif, jpg, and png files only)
Photo Caption 
Condition/Diagnosis  (if applicable)
Story *  Tell us your story about All Children's Hospital
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About  Tell us a little bit about what All Children's Hospital means to you
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* Required

By clicking "Submit" you indicate that you are at least 13 years of age and that you permit us to use the contact information you have provided to contact you about this story. By submitting this form you also agree that All Children's Hospital may share your story with the public.

Children's Miracle Network - the alliance of premier hospitals for children Logo - Click to visit the web site All Children's Hospital is a member of Children's Miracle Network Hospitals, which represents children's hospitals across North America. Our Telethon shares the courageous stories of our young patients, who are at the heart of it all. No matter which part of the hour you call, your entire donation stays with All Children's Hospital to benefit children from your community.
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