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Are you an ACHD patient or the partner of a patient with CHD? Share your story to show other patients or their partners that they’re not alone.

 

  • First, tell us about yourself. In the large text box, tell us your name, your CHD or your partner's CHD, your age, and where you're from. Next, select a topic from below that most relates to you. Then record a 5-10 min video introducing yourself and telling us your ACHD story as it relates to the topic you chose. Hold your camera or phone horizontally when recording. Be sure to check the box for the media waiver. If your submission has been selected, you will be notified by the ACHD Coordinator. Your video will then be used on the Conquering CHD website or media created by Conquering CHD.
  • Terms and Conditions I grant to Conquering CHD, its representatives and employees the permission to use the attached video, and/or associated videos in connection with the ACHD Video Series. I authorize Conquering CHD, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Conquering CHD may use such submission of me or my responsible minor with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
  • By completing this form, you are also considered a Conquering CHD partner and will be added to our partner database.
  • *Please be sure to upload your video BEFORE you hit submit below.