Share your story. Inspire real change.

We are looking to tell the stories of people who are living without health insurance and who face challenges getting the care they need. We are producing a short film featuring these real stories in order to shed light on this issue and inspire change across the country. We want to tell your story. 

Please fill out the form below if: 

  • Your family makes less than $50,000 per year (or less than $17,000 per year for a household of one), and
  • You live in one these states: Alabama, Florida, Georgia, Kansas, Mississippi, North Carolina, South Carolina, South Dakota, Tennessee, Texas, Wisconsin or Wyoming

You can also learn more about this project by reading our Frequently Asked Questions.