Share Your Story

Share your Voice of Persistent Pain

Share Your Story

Your voice is powerful. If you would like to share your story with the chronic pain community, complete the form below and one of our team members will reach out.

Name

First Name

Last Name

Email Address: This is what we will use to contact you with the final edit - this will not be published with the blog.

My Story

Please provide a chronological account of your story. Please note, we will not publish hospital / doctor names.

Consent

I give consent to be contacted by an APMA representative and share my story via APMA channels.

I consent

Name

Please provide the name that you are happy to have published with your story: It is fine if you wish to use a pseudonym.

Your story

Provide a chronological account of your story.

Trigger Warning

Please say YES here if your story requires a trigger warning. A trigger warning is a statement made prior to sharing potentially disturbing content. That content might include graphic references to topics such as abuse, self-harm, violence, eating disorders, suicide and so on.

Photo

Do you have an image (portrait photo or a photo you have taken) that can be published with the story? Please note, copyright laws apply. If you do not provide a photo, we will choose one to add to the story. Please send your photo (Jpeg or PNG) to info@painmanagement.org.au with details

Name of Story

Do you have a suggested title for your story?