Share Your Story

Melanoma Patients Australia is interested in you and your story.

Share your melanoma story to help others feel informed, supported and less alone. Your experience can provide hope and reassurance while making a meaningful difference to individuals and the wider melanoma community.

I am a:(Required)
Who is this story about?(Required)
I confirm that I have the permission of the person whose story and any images are being shared to submit this information to Melanoma Patients Australia and to provide the consents selected below in this form.

Story

Drop files here or
Max. file size: 128 MB.
    Please provide a photograph/s of yourself that you are happy to share along with your story.

    Media Consent

    I would be happy to be contacted regarding potential media opportunities that may arise from time to time.(Required)

    Consent

    Thank you for sharing your story. By completing this form, you understand that Melanoma Patients Australia may edit words in your submission but will never change the essence of your story.(Required)
    Would you like to review your story / images prior to publication
    My story and image can be used for:(Required)
    Time Period (please select one)(Required)

    Posthumous Consent

    Posthumous consent refers to permission given for the use of a person’s image or information after they have died.(Required)

    Notification of Death

    If you have chosen not to allow posthumous use of your materials, we will need to be notified if you pass away so we can stop future use and remove your images, recordings and story from our platforms, where reasonably possible. Because we may not otherwise be aware of a person’s death, it is the responsibility of your nominated contact person, family member or representative to inform us. Once notified, we will take all reasonable steps to remove content that we control; however, we may not be able to remove material that has already been printed, shared by third parties, downloaded, archived, or reposted outside our platforms.

    Withdrawing Consent

    I can contact Melanoma Patients Australia to withdraw consent at any time ([email protected]). Melanoma Patients Australia will stop new use and remove content where it is reasonably possible, but may not be able to remove previously printed materials or third party shares or downloads

    Privacy

    By completing this form, you consent to your information being collected, used and disclosed in accordance with our Privacy Policy

    Submitting Form

    By submitting this form, I confirm that I understand the information provided and consent to the use of my materials as described above.

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