Submit your video for a chance to be featured on our page!

Please complete the below sections and reach out to socialmedia@hanger.com with any questions.

First and last name: *

Email address: *

Phone number: *

Are you a Hanger Clinic patient? *

If yes, please list your Hanger Clinic location and name of your clinician:

Please describe the video you are uploading and what you'd like us to know about it: *

Do you have an Instagram handle you'd like us to tag?:

Please upload your or video(s) here – maximum of 5 files.

Note: upload photos/videos of yourself vs with others or a group, as we must have Media Release forms signed for each person pictured.

If you are a Hanger Clinic patient, please e-sign the following forms to provide permission for us to post your video and state that you are a patient: (If you've already signed these forms in the past, please let us know so that we can confirm they are on file)

HIPAA PR Release Form: https://fs24.formsite.com/hangerforms/form441/index.html

Media Release Form: https://fs24.formsite.com/hangerforms/form395/index.html

If you feel you've already signed the above forms, please let us know here.

If you are NOT a patient, please e-sign the following form to provide permission for Hanger to post your video:

Media Release Form: https://fs24.formsite.com/hangerforms/form395/index.html

If your submission is selected, we'll be in touch! Thank you again for taking the time to submit your video.

Submit your video for a chance to be featured on our page!

**If your submission is selected, we'll be in touch! Thank you again for taking the time to submit your video.**

If your submission is selected, we'll be in touch! Thank you again for taking the time to submit your video.