Submit a Story

Please share your story with us by completing and submitting the form below. You may upload photos, word documents and text files. You can also send us any links to video files (YouTube, Vimeo) or and other urls that help tell your story (blogs, news articles). If you have any problems with the submission process, please contact jmaharajh@stmaryskids.org. We look forward to hearing from you.

Child Name (required):

Child Age:

 Male Female

Name of program(s) child admitted to at St. Mary's:

Date of Admission:

Services Child received at St. Mary's:

Parent/Guardian Name:

Address:

Phone Number:

Your Email (required):

Send us a picture of your child:
(Supported file types: JPEG, GIF, PNG | 5mb limit)

Send us a link to a video of your child or anything that represents your child's story:
(URL from YouTube, Vimeo, Flickr, blog, news article, etc.)

Tell us about your child. What obstacles has he/she overcome? What goals is he/she striving for? How how St. Mary's helped your child in his or her recovery?

Or upload a Word Document or a PDF file (5mb limit):

I hereby grant St. Mary’s Healthcare System for Children consent to utilize my story, photographs, artwork, videotapes, films, tape recordings or any collective materials of me, other members of my family and the above named patient/resident for newspaper release, publicity and/or fund-raising, educational, instructional, teaching or advocacy purposes.