SHARE YOUR EXPERIENCE
"The most powerful person in the world is the story teller. The storyteller sets the vision, values, and agenda of an entire generation that is to come"
Why share your story?
In sharing our personal stories, successes, and experiences, we have a chance to reach others and make an impact on their lives by building a sense of community and togetherness. As you share your stories and positive experiences with Healthy Campus, barriers are broken, the stigma of healthcare utilization is reduced, and others have a chance to hear about the experiences of people just like them. We encourage you to use this form to open up, include details, and feel empowered to share your personal, cultural, and lifestyle circumstances and how this Healthy Campus story affected the patient, loved ones and the surrounding community.
Your Name (Your name will be kept confidential at all times):
*
First Name
Last Name
Title or Position
What is your relation to the person in this story?
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Parent/Guardian/Caretaker
School Staff
Clinician of CPCA
Campus Clinic Employee
Other
Patient/Person Name (All patient names shared will be kept confidential at all times):
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First Name
Last Name
School District:
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Please Select
Chula Vista Elementary
Imperial Unified
Santa Ana Unified
Garvey Elementary
Center Joint
Other
Program:
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Student Mental Wellness Program
Staff Wellness Program
Outbreak Prevention Testing
General Telehealth
In-Class Education Series
TB Assessment
Sports Physical Appointment
Coffee with the Principal Presentation
Unsure/Not Specified
Other
Story or quote you would like to share. (Please be as detailed and thoughtful as you are willing to be about this experience):
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“Through sharing we all find a common ground, inspiration, hope, meaning, and, ultimately, action.”
Would you like to share a picture/image related to this story?
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Yes, I give Healthy Campus permission to share or publish this picture in conduction with this story
No
Any images/screenshots you would like to share relating/supporting this story:
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