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2. Photovoice Project

   The Orange County Board of Health is doing a Photovoice project to learn about people’s experiences getting health care. Your photos and stories can help us make health services better for everyone.

   How to participate:

   1. Take a photo that shows your experience or challenges getting health care in Orange County.

      • Please don’t include personal details like faces, names, or addresses.

   2. Write 2–5 sentences about your experience and how the photo helps tell your story.

   3. Upload your photo, short description, and contact information in the form below.

   How we’ll use your story:
   We’ll use your photos and stories to improve health services and share them (with permission) with community members and local leaders to help bring change.
   By submitting your photo, you agree that it can be shared publicly. Only send photos you’re comfortable sharing.

   Thank you for helping!
   The first 100 participants will get a $10 gift card to Sheetz or Food Lion. You’ll need to pick it up at the Health Department.

   Questions?
   Email Jean Phillips-Weiner at kphillips-weiner@orangecountync.gov.

4. Your Information

   If you choose not to include your real name and current contact information, we will not be able to reach you with project updates or to provide you with a gift card as a thank you for participating.

6. First Name
7. Last Name
9. Phone Number
11. Email Address
13. Write 2–5 sentences about your experience and how the photo helps tell your story.*

    You may or may not have had a good experience. Anything you share is okay. 

15. Upload your photo or drawing here. *

    We want to protect your privacy. Please do not include pictures or information that would make it easy for someone to recognize who you are. 

17. Would you like updates about the project?

    1. Yes
    2. No
19. Thank you for sharing your experiences with us!

    We want to make it easier for everyone to get the health care they need. We also want to make getting healthcare a friendlier experience. Your feedback will help us accomplish those goals. 

Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field