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Request Direct Contact

You can also tell us your story through our secure, AI-guided conversation. Use this form to request that a member of The Smith Institute team contact you via email to discuss the possibility of setting up an interview about your healthcare experience.

This is simply a request for contact — our team will reach out to you at the email address you provide to discuss next steps.

Important: Do Not Include Personal Health Information

For your privacy and security, please do not include any Protected Health Information (PHI) in your message. Keep your description brief and general. Specifically, please avoid sharing:

  • Medical diagnoses or conditions
  • Treatment details or medications
  • Dates of medical services
  • Names of healthcare providers or facilities
  • Medical record numbers or account numbers
  • Health insurance information
  • Lab results or test results
  • Social Security numbers
  • Dates of birth
  • Physical or mailing addresses

A brief, general description of your situation is all that is needed. For example: “I had a negative experience with hospital billing” or “I faced challenges accessing care in a rural area.”

Share Your Story