Home / Write Your Blood Clot Story

Write Your Blood Clot Story

Submit Your Blood Clot Story in Writing

On our Patient Stories page, you’ll find a collection of narratives from a wide variety of blood clot patients. Our goal is to offer comfort and hope to those affected by blood clots through the experiences of those who’ve walked a similar path. In sharing your story, we hope you’ll be empowered to move forward as you help educate others through your own experience.

Guidelines for Writing Your Story

Your story should be about your personal experience with blood clots or clotting disorders. This means you could share your own experience, or that of your child, partner, friend, parent, sibling, or loved one. Please include as much detail as possible to allow the readers to fully understand and relate to your experience.

If you would also like to submit a video story, you can do so here.

Patient Story Submission Form

First name*
Last name*
Email*
Where do you live?*
City State / Province / Region Country
Please share your blood clot experience*
Did you have any risk factors that may have contributed to your blood clotting experience?*

e.g., estrogen-based birth control, long travel, surgery, hospitalization, etc.
What is your diagnosis?*

e.g., DVT, PE, factor v Leiden, etc.
How has your experience with blood clot changed your life or lifestyle, if at all?*
What have you learned since this experience? Have any NBCA resources or services been helpful to you during your diagnosis or recovery?*
If you have a clotting disorder, have any of your family members been tested? If so, what have you learned from these test results?*
What is your Instagram handle? (optional)
What advice would you like to give to others?*
Clotiversary Date (if applicable)
MM slash DD slash YYYY
Upload a photo of you in .JPG or .PNG format*
Accepted file types: jpg, jpeg, png, gif, Max. file size: 64 MB.
Upload a photo of you in .JPG or .PNG format
Accepted file types: jpg, jpeg, png, gif, Max. file size: 64 MB.
Upload a photo of you in .JPG or .PNG format
Accepted file types: jpg, jpeg, png, gif, Max. file size: 64 MB.
Upload a photo of you in .JPG or .PNG format
Accepted file types: jpg, jpeg, png, gif, Max. file size: 64 MB.
Consent*
I have read and agreed to NBCA’s Release Form*
I understand that by submitting this form I agree to allow the National Blood Clot Alliance (NBCA) to use the information, photo and or video that I am voluntarily submitting as outlined in the Release Form.
Would like to receive communications from the National Blood Clot Alliance?*
- Yes
- No

Thank you for taking the time to share your story with us. We will be in touch regarding anticipated publication date.

Please Address Questions To: info@stoptheclot.org

Write Your Blood Clot Story

Submit Your Blood Clot Story in Writing

Guidelines for Writing Your Story

Patient Story Submission Form

Keep up with the latest news and events