What made your maternity care at GRHS special? We'd love to hear about your experiences and share this with our staff and other moms-to-be in marketing our OB and Family Medicine services! Name(Required) First Last City(Required) Email(Required) Phone(Required)Please share a few sentences about our team and what they did to make your maternity experience exceptional.Please share a few sentences about our team and what they did to make your maternity experience exceptional. Title (or we can create one for you from your story) Terms of Agreement(Required)I give permission to Glacial Ridge Health System and its affiliates (contracted marketing services) to use my comments, first name, last initial, and city for the purpose of communications and marketing of OB and Family Medicine care to include online, social media, and other promotional materials. Disclaimers: I understand that once my information is used, it may be re-used or shared by Glacial Ridge Health System and its affiliates. I understand that once my information is shared digitally, in print, or online, it may be disclosed by others in the future. I further understand that this authorization is voluntary and without compensation. Submitting my experience or declining to share will not affect my ability to receive medical care. This consent is subject to revocation at any time except to the extent that action has already been taken to use or share this information. Please inform the Marketing/Communications Manager in writing if you change your mind and do not want your information to be used for new or future marketing or promotions. This authorization will expire when this information is no longer used by Glacial Ridge Health System marketing. Please note, any information submitted is not encrypted and may be intercepted by an outside party. Glacial Ridge Health System cannot guarantee that any information submitted through this website will remain confidential. Information submitted is not intended to be directed towards patient care. If you have questions for your healthcare provider, please contact your primary clinic. Thank You. I understand the conditions set forth above and agree to those terms.