Avoiding Drugs as Chemical Restraints: Share Your Story

Tell us about your, or your loved one's, experiences of good care without drugs in a long-term care facility to help advocate against the misuse of antipsychotic drugs in nursing homes. 

Share Your Story: *

Your Information

Note: We are asking for contact information so that we may get in touch with you if we need more information or need to clarify some aspect of your story. Your name and information will never be disclosed without your permission.

Name *

First Name

Last Name

City *

State *

Email *

Who are you? *

•   Nursing home resident
•   Assisted living resident
•   I receive services in my home or community.
•   Family member
•   Friend
•   Guardian or resident representative

CAPTCHA

Please enter the word you see in the image

Permission

•   I give Consumer Voice permission to post my story publicly (with personal information redacted) and to use my story in their efforts to advocate for individuals receiving long-term care.
•   I am willing to speak with the media about my story.