Your Story

So many people have stories to tell about the ways that the Eye & Ear Institute has made a real difference in their lives. As you know, many people do not understand the real impact that diseases and disorders of the eye, ear, nose, throat, head or neck can have on a person’s life, and the lives of their loved ones.

 

By generously sharing your story, you can help educate, encourage and inspire others.  Educate those who may not understand the seriousness of issues like glaucoma and macular degeneration or balance and swallowing disorders.  Encourage those struggling with similar medical conditions.  And inspire those who would like to support research and clinical care programs in these and other important areas.

 

Simply fill out the form below, and we will contact you for official clearance if your story is chosen for our Website or other materials.


* First Name
* Last Name
* Email Address
* Verify Email Address
   Phone Number
* Story Title
   Photo
* Tell us your story
* Would you like to receive periodic mailings from Eye & Ear Foundation?Yes No
* I verify that I am at least 18 years old and by submitting this form the Eye & Ear Foundation has my permission to use my story in any Eye & Ear Foundation related materials.Yes No
LEGAL DISCLAIMER: By Submitting this form, you agree to allow the Eye & Ear Foundation to use your story for print materials including this Website.