Thank you for your interest in sharing your primary care success story!

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* 1. Please enter your contact information. This will not be shared unless you give us permission.

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* 2. Your success story may be shared in emails, on the HCBD website or Facebook page, on posters, or in presentations.

How would you like us to identify you?

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* 3. Please tell us your success story related to primary care.

Please share what you feel comfortable with but try to share no more than 500 words (about 1 page). We may use all or part of what you share here.

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