Share Your Parkview Story

We want to hear your story!

At Parkview, our patients come first. We live for the life-saving moments, big and small, and the beautiful exchanges that deliver hope and mean so much to caregivers, patients and patient families.

If you’ve had a positive experience with someone from our team, and feel comfortable sharing, we’d love to hear from you.


Your Name*Email*Phone*Your Story*Name of the facility where your story took place*Photo #1Photo #2Photo #3If you have a video you would like to share, paste a link to the video here.I am willing to receive email communication from Parkview Health.I would like to receive the newsletter and information about upcoming events from Parkview Health.Please note, stories could be used to represent Parkview Health on a media outlet or for content on one of our social media platforms. In these instances, contributors will be contacted by a member of the Parkview Health marketing team.

Terms & Conditions

I hereby grant Parkview Health System, Inc., its directors, officers, employees, agents, and designees (collectively “Parkview”) non-revocable permission to use the materials I have submitted to it, which may include: photographs, videotapes, recordings, written information, or other media (“Material”). I understand and acknowledge that Parkview will own such Material and further grant Parkview permission to copyright, display, publish, distribute, use, modify, print and reprint such Material in any manner whatsoever related to Parkview’s business and mission, including without limitation to publications, advertisements, marketing, brochures, web site images, or other electronic displays and transmissions thereof without geographic or time restriction.

I authorize the release of any information (including my health information) contained in this submission and authorize Parkview to discuss this information with its physicians and other medical practitioners, as necessary, to verify the accuracy of the information.

I further waive any right to inspect or approve the use of the Material by Parkview prior to its use. I also waive any right to royalties or other compensation for Parkview’s use of the Materials. I forever release and hold Parkview harmless from any and all liability arising out of the use of the Material in any manner or media whatsoever, and waive any and all claims and causes of action relating to use of the Material, including without limitation, claims for invasion of privacy rights or publicity.

I represent and warrant that I have the authority to provide the Material to Parkview and that no one else owns or has superior rights to it. I have read, fully understand, and voluntarily agree to be legally bound by this waiver, release, and authorization form. I understand and agree that I may not use this site to conduct any activity that is illegal or that violates the rights or others. I represent and warrant that all information submitted is truthful and accurate.

Children under 18 years

If this story is regarding a child under the age of 18 years, I hereby certify that I am the parent and/or guardian, and I hereby consent that any Material (as defined above) may be used for any purposes set forth in this Authorization and Release above.
*
Parent/Legal Guardian's Name