Share Your Story

Thank a Staff, Physician or Volunteer Today!

Hearing directly from patients and families not only helps us stay connected with you but is also tremendously meaningful to the staff, physicians and volunteers involved in your care. Thank you for taking the time to share your story about how Muskoka Algonquin Healthcare has made a difference in your life for the better. Your story can also inspire and help others who may be going through a similar experience to know they are not alone.

What is your First and Last Name?

Preferred Phone Number

Email Address:

Patient's First and Last Name:

Date of experience:

Where was your experience?

Huntsville Hospital

South Muskoka Hospital

List the names of any care providers you would like to specifically acknowledge

Describe your experience and tell us your story

Authorization

By making the applicable selection below, tell us how you would like us to use your story - with care providers only, or in a broader format.

By providing permission below for Muskoka Algonquin Healthcare (MAHC) and its two Foundations (Huntsville Hospital Foundation or South Muskoka Hospital Foundation) to publish your story, you are authorizing us to use your story in digital and print formats. Once you submit your story, a staff member will review to determine if the content is appropriate for use. Your story may be used in a variety of ways including, but not limited to:

Any internal or external hospital publications, brochures, etc.
The hospital website - www.mahc.ca
The Foundation website(s) www.healthmuskoka.ca and/or https://huntsvillehospitalfoundation.ca/
Any social media or social networking platforms managed by MAHC and/or the Foundations including Facebook, Twitter, Instagram and YouTube
Public meetings such as MAHC and/or Foundation Board of Directors meeting, Annual General Meeting, etc.

By making this submission you are authorizing the release of any information including health information contained in this submission. You represent and warrant that you have the authority to provide the information to us and that no one else owns or has rights to this information.

I only want my story shared with the care providers that were involved with my care.

Yes

No

I agree to the above terms and conditions and give my permission to MAHC to publish my story.

Yes

No

Please share my story with the appropriate Foundation (South Muskoka Hospital Foundation or Huntsville Hospital Foundation). You may be contacted about their grateful patient programs as a further way to honour your healthcare team.

Yes

No

Would you be willing to let us take your photo or record your story for our promotional materials?

Yes

No