Please fill out and submit this form.

email your video to

if your file is too big for email please let us know and we will send you a drop box folder to place the file.

Thanks and please read and respond to the disclaimer.

Name *


An Important Statement For Our Readers/Users

 We encourage people to be open and honest in their narrative. However, we will not be able to post any incendiary or vulgar language and/or personal attacks. Additionally, if you are referencing an individual in your video you will be responsible for informing and clearing their participation. We assume the narrative you are sending is true to the best of your knowledge.  Neither nor Facebook will be responsible or liable for any consequences, either personal or legal, related the content you are sending.

We believe that education and openness about mental illness are the best way to heal.  We hope that Mental Health Justice will help provide information and educational opportunities for our readers and users.  While information and education are key to your health, they do not replace the expertise of your personal physician or other healthcare professionals that treat you directly.

 Please read the following disclaimers as they are part of the "important" information to protect your health.

 The contents of the Mental Health Justice Site, such as text, graphics, images, and other material contained on the Mental Health Justice Site ("Content") are for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on the Mental Health Justice Site.

If you think you may have a mental health emergency, call your doctor or 911 immediately. Mental Health Justice does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Site. Reliance on any information provided by Mental Health Justice, Mental Health Justice employees, others appearing on the Site at the invitation of Mental Health Justice, or other visitors to the Site is solely at your own risk.

The Mental Health Justice Site may contain health- or medical-related materials that are sexually explicit. If you find these materials offensive, you may not want to use our Site. The Site and the Content are provided on an "as is" basis.

 Additional Disclaimer for Mental Health Justice Content

 The opinions expressed on Mental Health Justice -generated content areas like reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of Mental Health Justice. User-generated content areas are not reviewed by a Mental Health Justice, a physician or any member of the Mental Health Justice editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. Some of these opinions may contain information about treatments or uses of drug products that have not been approved by the U.S. Food and Drug Administration. Mental Health Justice does not endorse any specific product, service, or treatment.

Do not consider Mental Health Justice User-generated content as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on Mental Health Justice. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. Mental Health Justice understands that reading individual, real-life experiences can be a helpful resource, but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately.

Please let us know in the message box of this form that you have read and fully understand this disclaimer. We will need your okay before we post any "Tell Your Story" videos. 

 Thank you for your participation.