How did Dr. Brady's Pain Free for Life program help you?

Are you jumping up and down because you are now Pain Free? You can encourage others by sending Dr. Brady your success story. You can include: What are you able to do now that you couldn't before? What steps of the program worked best for you? How has living Pain Free for Life affected you as well as those you love?

Your story could be seen by millions in Dr. Brady's future books and website as well as other promotional material. Most importantly, it will inspire other people to follow Dr. Brady's plan so they too can live pain free and improve their lives.

Ready to share how Dr. Brady's program changed your life?

Here's what you need to do:
You can submit your information and testimony electronically or, if you would rather, you can mail it to us.

First Name: *
Last Name: *
Email: *
Phone Number:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Your Story: *
	I agree to the conditions within the "Permission To Share" form.

Or, for mailing just follow the simple steps below:

Share your story with us! Please include your contact information (name, e-mail, zip code).
For us to use your information, please sign a consent and release form. To read and print the "Permission to Share" form, click here.
Please include photos of yourself. We are looking for active photos in which you are alone. If you are not alone, please have the others in the picture sign the "HIPPA" form. Please note your name and email - along with the date of the photos and job title, and chronic pain symptom on the back of the photos. Prints or scanned pictures are OK to be sent on a disk/CD.
Lastly, collect the completed "Success Story", the completed "HIPPA" form, and any active photos of yourself. Please mail everything to the address below.

Your contact information, success story and photos will become the property of The Brady Institute and Florida Hospital and will not be returned. They will also not be sold or distributed to third parties.