Share Your Experience

Name*

First NameLast Name

Email*

example@example.com

Phone*

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Tell Us About Your Care*

Share a storyHonor a caregiver

The name of the person or team you'd like to honor*

The department or location where this person or team works*

Your message of thanks*

A member of the Foundations team will reach out to ask you if you’d like to share your story of exceptional care or help Rochester Regional Health in other ways.

Thank you for participating in The Gratitude Project.

Your Story*

Upload a Photo (optional)

Consent*

I consent to Rochester Regional Health and its affiliates using my story in written media for public relations activities, media campaigns, and/or health system projects or publications, such as reports or newsletters. More particularly, I authorize the use and/or disclosure of the following information: my experience at Rochester Regional Health and its affiliates reduced to writing; my name in interviews, advertising or publications; or my still photographs or video footage for use in publications (print or electronic), web sites, audio/video recordings, television commercials, advertising or films.

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