Become an Advocate Share your story or support patients and families who are seeking treatment. I am interested in exploring the following advocacy opportunities: (Check all that apply.) I would like to share my resilience and recovery story in a testimonial on Rogers’ website, social media, blog, or enewsletter. I will independently share my Rogers experience in a Google or Facebook review. I am open to considering opportunities to participate in mental health advocacy weeks or other requests that Rogers receives. I would like to share my/our experience with receiving financial assistance (Patient Care Grant/Angel Fund) from Rogers’ Foundation, using Ronald McDonald House Charities offerings, participating in Spiritual Care programming, or working with a dog as part of a Canine Assisted Intervention in treatment: To the Rogers team I want to share my resilience and recovery story with Rogers’ internal team to help them understand the impact of their work. I can participate in marketing research or surveys to help Rogers most effectively and efficiently reach those in need of treatment. To patients and families I would like to share aspects of my recovery journey with other patients to give them hope for healing. This could vary from visiting a program to writing a letter to be shared with patients. I want to support patients and programs by participating in Rogers Foundation initiatives, such as organizing my own fundraising and awareness event, holding a holiday or coping skills drive, or attending a special event. I’m a parent whose child went through Rogers treatment in the last three years and I would be willing to talk with other parents who request another parent’s perspective while considering treatment. Tell us what is motivating you to be an advocate for mental health awareness. Required Advocate's Name: Advocate's Email: Required Confirm your email address: Required Advocate's Phone: Advocate's backup phone number: Advocate's preferred method of contact: --None--Phone Email Please check all the boxes below that apply to you: I am a former patient. I am 18 years old or older. I am parent of a former patient who is 18 or older. I am the spouse of a former patient. I have been out of Rogers treatment for at least 6 months. Your treatment at Rogers If a parent of a former patient, please indicate your child’s full name: Child's date of birth, if applicable: Treatment Program (write-in): Required Level of Care: Required--None--Inpatient Residential Partial Intensive Outpatient Location: Required--None--Oconomowoc West Allis BrownDeer Kenosha Madison Tampa Skokie Appleton Nashville Minneapolis Philadelphia San Francisco East Bay Hinsdale Miami St. Paul San Diego Sheboygan Los Angeles Atlanta Seattle Denver Address: City: State: --None--Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming Postal Code: Country: Typing your name below serves as your electronic signature and signifies your consent to use the content you provided. Required Note that you can request at any point that content be removed from our website or social media channels by notifying Rogers via email at Media@rogersbh.org or mailing Marketing at Rogers Behavioral Health, 34700 Valley Road, Oconomowoc, WI 53066.