The Campaign for Children's Health Care
Consumer Story Bank

The Campaign for Children’s Health Care is building a database that documents the health care hardship stories of children and their families. Stories about the experiences of people help make difficult and often complex policy issues understandable to a broader group. Reporters and policymakers find the stories useful to better illustrate the everyday struggles that Americans face concerning their health care. We obtain permission from each consumer before releasing his/her story.

If you have children or know of a family whose children have faced health and academic consequences because they are uninsured, or if the family cannot afford health insurance coverage for their children, please fill out the form below.

To learn more about our story bank, or if you would like to distribute hard copies of our Tell Us Your Story form to local consumers, advocates, and health care professionals, please download this story bank brochure. We appreciate your support in helping us collect these valuable personal health care stories. 

If you would like to share your story, please do so below. Your story can make a difference. 

1. Your Information


First Name:

Last Name:

Street Address:




Zip Code:

 Phone Number:

2. E-Mail

3. Race/Ethnicity
4. DOB

5. How did you learn about our story bank?
6. Your Story