Grateful Patient Initiative

Share your Story

Your journey inspires others

Your experience at Spectrios is a powerful example of resilience, hope and the life-changing impact of vision care. When you give back, you help others navigate their own journey and ensure that these essential services remain available to all who need them.

Use this form to share your story.

Please fill out all required information. For your convenience, you can share your story by recording a message. You may also type out a message if you prefer. There is no need to do both.

Please enable JavaScript in your browser to complete this form.

First Name *

Last Name *

Email Address *

Phone Number *

with you Newsletter

Which Spectrios Services or Programs have you used or participated in?

Low Vision Exam/Diagnostic Exam
Occupational Therapy
Access Technology Lab
Seeing Is Believing
Grandma Martyl Low Vision Day Camp
Grandma Martyl Transition Talks
Low Vision Support Group

Do you consent to your story being shared? *

Yes, you may share my story through all channels.
Yes, but ONLY share my story in printed materials.
Yes, but ONLY share my story through digital channels

When we collect stories and testimonials, we share them through printed materials like the Brightside and through digital channels like Email and Social Media. Please choose if you are comfortable with your story being shared through all channels or specific channels only. We will honor your preference.

Share your Story with a voice message

0:00 / 5:00

Share your story by recording a voice message. Messages can be up to 5 minutes in a single recording. If you need extra time, please use the Extended Story section to record additional content.

Need More Time?

0:00 / 2:00

If you run out of time sharing your story, you can use the field to complete it.

Share your Story with a written message

Prefer to type it out? Use this field to write out your Spectrios story.

Would you like to sign up to receive our Email Newsletter

Yes! Sign me up
No, thank you.