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Thank you for choosing the Bryan Independence Center for your treatment needs. We hope that you had a great experience while you were our patient. Would you like to share your experience with others who are considering treatment at the Independence Center? Please complete this form.

Tips for sharing your story:

  1. Use full sentences.
  2. As much as possible, tell your story in chronological order.
  3. Share specific events from the recovery process as well as your emotional and physical response.
  4. What did you appreciate about your experience at the Independence Center? What should others considering treatment know about ?
  5. Length: aim for between 300 and 800 words.
*Please note that we can use your story with a pseudonym if you wish, but we still ask that you provide us with your real, full name for our records.

* Indicates required information
Your First Name * 
E-mail address  * 
Your Last Name  * 
Please check one. * 

City * 
State * 
Zip * 
Your Story * 
Authentication * 

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General Disclosure Agreement: By submitting your story, you give Bryan Health the permanent right to reproduce, publish, display and use your story for other purposes in any media form.

Your story may be edited for spelling, grammar, punctuation, and content.
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