“History is HERstory too.”

Yes. I have read and agree to FHWIM's terms as shown on the release form

Name:

Address:

City:

State / Province:

Zip / Postal Code:

Phone:

Email:

Please answer the following question...

“What were the major obstacles to your career advancement in medicine and how did you overcome them?”

Select a submission method below

I will attach a document/photo(s) and email them to info@fhwim.org

I will type my story in the space below

(Only required if you have chosen this submission method)

Please call me for a telephone interview at the number above.

I will send written submissions and audio tapes to P.O. Box 543, Pottstown, PA 19464.