Surgical Weight Management: Share Your Story

Have you interacted with UW Health's Surgical Weight Management program and want to share your experience with others? You can use this form to send us text messages and upload photos for publication on the UW Health website.

 

Through this testimonial, you can use your own words and images to share your thoughts and feelings about the experience - how it has changed your life, the people who assisted you in the process and how your story unfolded.

 

Most patient testimonials are 150-200 words, but we encourage you to write as little or as much as you would like. We will assist you with editing, using only first names of patients and, if you like, will include a photograph with your story.


 
e-Mail Address:
 
First Name (optional):
 
Last Name (optional):
 
ZIP Code:
 
Phone (optional):
 
Your Story:

 

 

Authorization to Use Image/Information On Web Site

 

Select the check box below to grant permission:

 

 By submitting my personal story of care received at UW Health, I authorize UW Health to use my information and/or pictures for use on www.uwhealth.org. I understand I can have this information removed from www.uwhealth.org at any time by contacting ehealth@uwhealth.org.

 

 
 

Mailing Address (for photos)

 

If you would like to mail a photo for publication or have questions, please contact:

 

UW Health eHealth Office

301 S. Westfield Dr., Suite 250
Madison, WI 53717

ehealth@uwhealth.org