Care Impacting Lives Every Day Story Submission Form

Care Impacting Lives Every Day Story Submission Form

Tell your story. (What happened? What do you want to share? Please use as much detail as possible.) *

How did this make a difference in quality, cost, patient experience, and/or physician satisfaction?*

Who was involved? (Patients, external organization, staff, etc.)*

Who benefitted from this? (Patients/Provider/Group of People/)*

Practice Name*

Contact Name*

Phone Number*

Email*

Please include any images or additional documents by attaching them here:

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Thank you for taking the time to share your story! If we need more information, someone from Catholic Medical Partners will be in contact with you. If you have any questions, please reach out to Brittany Bolden at bbolden1@chsbuffalo.org or (716) 862-2166.

Please note that submission does not guarantee that your story will be featured. Stories will be featured as space allows.