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Submit Your Healthcare Access Story

Please fill out the form below to submit your story to our healthcare access story map. We created this map to demonstrate to our state leadership how widespread healthcare access issues are in Pennsylvania.

First Name*

Email Address*

County*

Last Name*

Phone Number*

How would you like your name to appear on the map?

First name with last initial. Initials only. Do not publish my name.

Write your story in the box below.*

SUBMIT

This project is funded by a grant from the Pennsylvania Developmental Disabilities Council.

Submit Your Healthcare Access Story

Thank you for submitting your story!