Share Your Story

Personal Information Complete the fields below so a member of our staff can contact you. Your contact information will not be shared with anyone outside of the organization or for any purpose other than to obtain more information about your story.
- First Name
- Last Name
- Would you like to make your full name public if your story is subsequently published on AtriumHealthFoundation.org?
  - Yes, you may share my full name in my story
  - No, please keep my last name private
- Phone Number
- Email Address

What Type of Experience Did You Have? Please select from the following list of participation types that best describes how Atrium Health Foundation impacted your life or the life of your loved one:

- I was a patient and benefitted (directly or indirectly) from fundraising that supported the care I received at Atrium Health (Levine Cancer Institute, Levine Children Hospital, Carolinas Rehabilitation, etc.)
- My family member was a patient who benefitted (directly or indirectly) from fundraising that supported the care I received at Atrium Health
- I was a volunteer, sponsor, or community advocate
- I am a healthcare provider at Atrium Health
- I am a donor

Your Story

*
- By checking this box, you agree to our Privacy Policy
Our Commitment to Privacy
Atrium Health Foundation respects the privacy of our website visitors. This site may ask for demographic information to contact you in an effort to raise money for Atrium Health programs and facilities. The money raised will be used to expand and improve the services and programs we provide the community. If you are submitting a Story of Hope, we will respect your wishes as to whether or not your full name will be included with your submission (see check boxes on submission form). The contact information you provide on the same form will not be published with your story, nor will it be shared with anyone outside of the Foundation.

Comments

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