Submit Patient Story

Share stories about your experiences with pain with the Pain Society of Oregon using this form.

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Contact Information
Your name and contact information will be kept private. Only authorized employees, agents and contractors (who have agreed to keep information secure and confidential) have access to this information.
Submission Information
By clicking on submit, you agree that the Pain Society of Oregon has permission to post your story on www.painsociety.com and/or use your story to promote service through media and collateral materials such as, but not limited to, other websites that promote pain management awareness and advocacy, news releases, and printed publications. By clicking submit, you also agree that the Pain Society of Oregon has permission to edit your story to meet editorial standards while not changing the context of your story. Last names may be omitted to protect privacy.