Smile Oregon · Share Your Story!

Contact Information

Name

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First Name

Last Name

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Address

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Tell us about your experience with a cleft or craniofacial condition.

What has been your greatest challenge working through this condition?

What has brought you support and encouragement throughout the journey?

What do you want others to know about your unique journey?

Please use this box to share more about your story.

Your story matters and we are so grateful for your willingness to share it with us!

Picture upload

Please upload a picture here (no more than 10 megabytes).

Picture description

Please provide names, ages, and other details relating to the picture submitted.

By submitting this form, you grant Smile Oregon permission to share your story and images on our communication channels. It is our practice to make contact with you prior to making any part of your story public.