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From surgery to strength: Your journey matters.

At Mississippi Valley Surgery Center, we’re honored to be part of your journey back to health. Every patient we care for has a unique story, and we believe those stories matter. Whether you were treated for a sports injury, had a long-anticipated procedure or overcame a health setback, your experience can inspire others who are just starting their own paths to healing.

We’d love to hear how the MVSC team helped you get back to doing what you love. Please take a few moments to share your story using the form below.

Submit your story.

Name
MM slash DD slash YYYY

Consent and Media Release

By submitting my story, I acknowledge and agree to the following:

  • I voluntarily consent to share my testimonial regarding my care at Mississippi Valley Surgery Center.
  • I authorize Mississippi Valley Surgery Center to use my testimonial, name, photo/video (if provided), and/or likeness for promotional purposes.
  • I understand my testimonial may be used in any media format, including but not limited to: website, social media, print, video and digital communications.
  • I understand my testimonial may indirectly reveal information about my health or medical treatment, and I consent to this disclosure for the purposes described above.
  • I waive any right to royalties or other compensation arising or related to the use of the content. I hold harmless and release and forever discharge them from all claims, demands and causes of action, which I, my heirs, representatives, executors, administrators or any other persons acting on my behalf or on behalf of my estate have or may have by reasons of this authorization.
  • I understand that I may revoke my consent in writing at any time, but materials already published cannot be retracted.

By submitting this form, you authorize Mississippi Valley Surgery Center to use your testimonial, likeness (photo/video), and related information for promotional and educational purposes in any media format, including web, social, print, video and digital communications. Submission of this form is voluntary and will not affect your medical care. You may revoke your authorization at any time by providing written notice to Mississippi Valley Surgery Center; however, materials already produced or published prior to your revocation cannot be retracted. No compensation will be provided for the use of your testimonial or likeness.