Submit Your Story (Collected via email)
NOTE: STORIES ARE NOT COLLECTED VIA THIS FORM. PLEASE GIVE YOUR EMAIL AND WE WILL REACH OUT TO YOU TO COLLECT YOUR STORY ASAP!
HCM & DCM may be silent diseases, but those who are afflicted by them have a voice.
Here we have collected personal stories from patients and family members of those with inherited cardiomyopathy. Our goal is to create a safe environment to share experiences - good and bad - with others who know what you're going through. Together, we can learn from and inspire each other.
Please fill out the form below and a member of our team will contact you shortly.
*IMPORTANT* You will receive a response from our story coordinator Wendy at email@example.com.. If you haven't heard back from Wendy within 48 hours please check your spam filter to make sure her response didn't get lost. You can also add her email firstname.lastname@example.org to your contact list to ensure you receive her reply. Thanks for your cooperation! We can't wait to hear your story.
In 2 or 3 sentences please tell us a little bit about yourself. We will contact you via email to collect your full story asap!
How did you hear about us?
Security Question: 2 x 2 = ?
To prevent spam, please enter a numerical solution to this question.
Do Not Fill This Out