Photo Submission FacebookThis field is for validation purposes and should be left unchanged.Name(Required) First Last Email(Required) Phone(Required)Address(Required) City State / Province / Region Photos(Required) Drop files here or Select files Accepted file types: jpg, jpeg, png, webp, Max. file size: 10 MB, Max. files: 5. Submit up to 5 photos.Child's Name(Required)Child's Date of Birth MM slash DD slash YYYY Mother's Name First Last Father's Name First Last Share Your StoryIf you’d like, please describe your child’s reasoon for being in the NICU and a brief story or memory of your child’s stay.Consent(Required) I agree to the policy.I certify that I own these photographs or have permission to submit them. I grant Med Center Health permission to use these photographs in print, online, social media, marketing materials, and future promotions. If minors appear in these photos, I certify that I am the parent/legal guardian or otherwise have authority to grant this permission.
