Share Your Story
Your voice matters and we want to hear from you. Share your experience with us so that we can illustrate the reality of healthcare throughout California's communities.
Are you struggling to find affordable healthcare? Have you lost your job and your insurance, too? Are you worried about what healthcare reform means to you? Or are you finding ways to take charge of your healthcare during these tough economic times?
Your story (200 words or less, please): *
Name: *
Zip Code: *
Email: *
Phone: *
I approve the use of my story on the CPC web site and in other communication materials: *
Yes
No
It's ok to share my story with the media: *
Yes
No
Security verification - please type the numbers into the box to verify that you are not a machine: *
