Name

First Name

Last Name

How you’d like to be identified

Full Name

First Name

Last Name

Anonymous

Email

Was your loved one a patient of Cascade Health?

Yes

No

Would you like us to change the name of your loved one when sharing your story?

Yes

No

Share your story here

When you submit your story, we will review it and, if approved, post it to this page. If you prefer, you may share your story by email to ssharkey@cascadehealth.org or mail it to Cascade Health Foundation, 2650 Suzanne Way, Ste. 200, Eugene, OR 97408. By clicking submit, you grant Cascade Health permission to share and disclose any information submitted through this form for any purpose, including use in print, website, blog posts, media/news, social media, and/or presentations. You further attest that you understand that any protected health information released by Cascade Health pursuant to this authorization may be subject to redisclosure and may no longer be protected by applicable federal and state privacy laws. This authorization covers this submission only, and any future submissions will require an additional authorization. You may revoke this authorization at any time by contacting Cascade Health’s privacy officer by phone at (541) 228-3056 or compliance@cascadehealth.org, though revoking does not have an effect on information already disclosed; once the information you submit has been published, that instance of public disclosure cannot be revoked. You also give your permission to Cascade Health to contact you. Your contact information will not be shared outside of Cascade Health. Finally, by clicking Submit, you attest that you understand that signing this authorization is optional and that your refusal to sign will not affect your ability to received health-related services from Cascade Health. You further waive and release all claims against Cascade Health or its agents relating to use of interview material or the taking or use of photographic images.

Stories About Hospice: Sharing, Healing

Sharing stories is an important part of being human. Our stories connect us to each other, solidify our memories and help us and others work through our emotions and heal in a positive way.

Whether to process your own grief, pay tribute to someone you love or share lessons learned that might help others, we invite you to use this page to tell your story.

Please submit your story by completing the form below. After review, it will appear on this page. We may also use submitted stories on our website, social media or other materials to help people in our community better understand what hospice can do to help people at the end of life and their families.