Fields marked are required.

1. What are you contributing?
A description of the contributed material or story.
2. Historical information

Share any details you know. These fields may be left blank.

3. Contributor information

HHA uses these details only to identify or contact you about your submission. They are not automatically shown publicly.

Optional and private. This is for curator contact and will not automatically be displayed publicly.
Required so an HHA curator can contact you. Your email address will not be displayed publicly.
4. Public attribution

If material is later approved and curated for publication, only the public attribution name may be considered for display. Your private name and email are never used as a fallback.

Optional. Enter the name HHA may use if this contribution is later published. HHA will not substitute your private name or email address.
If selected, no public attribution name will be displayed, even if one is entered above.

Choosing to remain anonymous always overrides the public attribution name.

5. Files

Files remain in private contribution storage during review and have no public download link. You may choose up to ten JPEG, PNG, or PDF files independently. Each file may be up to 15 MiB, with a combined limit of 75 MiB.

Each Choose File control holds one file. Reopening one control replaces only that slot; use another numbered control to add another file.

6. Rights
You must have the right or permission to provide this material to Homeopathy Heritage Archives Inc.
7. Patient or case information
Does this material contain patient or case information? (required)
Required only if the material contains patient or case information. Confirm that patient-identifying information has been removed or is appropriately authorized.

This acknowledgment is required only when your material contains patient or case information.

8. Contribution certificate
This is a request only and does not guarantee acceptance or certificate issuance.