Permission for us to share your story

Thank you for tell us about your PH experiences. Please complete the form below to confirm you give permission for us to share your story.

If you have any questions, or you’d like to withdraw or amend your consent at any time, please email

Permission to share my story

Are you happy for your name to appear with your story?(Required)
Please confirm you are happy for your story, or parts of it, to be shared in the following ways (mark all that apply):(Required)
If you have submitted photos to be used with your story, please check this box to confirm you are happy for these to be used in the ways identified above