Share Your Story

Please fill out the form below to share your Alzheimer's story with us.

Save some time and add your information with:

Facebook Connect
Add Photos
Files must be less than 2 MB.
Allowed file types: png gif jpg jpeg.
Images must be at least 200x200 pixels. Images larger than 800x600 pixels will be resized.
Paste the url of the YouTube or Vimeo video here.

By sharing your story, you'll receive email updates from USAgainstAlzheimer's; you can unsubscribe at any time.

** If we feature your story, photos, and/or video on our website, blog, or social networks, we'll only include your first name, the first letter of your last name, and your state. With your permission, we may share your name, story, and email address with members of the media or with lawmakers who want to demonstrate how critical it is to stop Alzheimer's by 2020.

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