Medicaid Storytelling Submission

Share your Medicaid story.

It's simple: Medicaid matters for North Carolina's children and families. If Medicaid has had an impact on your life or on the life of a loved one, please share your story in using the form below.
About NC Child.

NC Child is a 501(c)(3) nonprofit organization that advocates for public policies that improve the lives of all North Carolina children. As the state's only multi-issue child advocacy organization, NC Child's work addresses policies that affect the whole child, including health and well-being, early childhood education, and family economic security. NC Child is also a leading source of state-level research and data on the issues affecting children and families, and the organization serves as a trusted and reliable source for policymakers and other child advocates across the state. For more information, visit ncchild.org.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
County*
I acknowledge that by completing this form, I give my consent to NC Child to contact me about my story.*

I acknowledge and consentI do not consent
I acknowledge that by completing this form, I give my consent to NC Child to use my story for any lawful purpose, including but not limited to PR, digital communication, marketing, advocacy, and advertising.*

I acknowledge and consentI do not consent. I want to share my story with the NC Child team only.
How would you like to be identified in connection with your story? (Ex. First name only and county, full name and county, initials and county, anonymous and county.)*
Sharing Your Story

To make sharing your story easier, there are a range of options available to you. You can share your story in the text box, record a 4 minute audio file, or upload a pre-written story as a word doc or PDF.
Question 1: How has Medicaid been a part of your life?

You can choose to share your response by either typing into the text box, recording an audio file, OR uploading a document. You only have to choose 1 method of entry.
Answer question 1 here.
Answer question 1 here.
Answer question 1 here.

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Question 2: Tell us more about your experience(s). What impact did Medicaid have on either your health or the health of a loved one?

You can choose to share your response by either typing into the text box, recording an audio file, OR uploading a document. You only have to choose 1 method of entry.
Answer question 2 here.
Answer question 2 here.
Answer question 2 here.

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Question 3: What do you want decision-makers to know about your experience?

You can choose to share your response by either typing into the text box, recording an audio file, OR uploading a document. You only have to choose 1 method of entry.
Answer question 3 here.
Answer question 3 here.
Answer question 3 here.

Cancelof
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Share your Medicaid story.

About NC Child.

Sharing Your Story

Question 1: How has Medicaid been a part of your life?

Question 2: Tell us more about your experience(s). What impact did Medicaid have on either your health or the health of a loved one?

Question 3: What do you want decision-makers to know about your experience?