National Medical War Memorial and Youth Education Center

National Medical War Memorial and Youth Educational Center

Attention Purple Heart Recipients and family
members of all military hospital patients:

Did a medic, hospital corpsman, helicopter medevac or
hospital ship crew, armed forces doctor or nurse, MASH
Unit, battlefield stretcher bearer, battalion medical aid
station, or military ambulance personnel save your life, or
perhaps provide critical emergency medical care to one of
your family members? If so, within 30 days we need to
have your service-connected medical memoir (300-500
word military medical “war story”) submitted to our
archives for publication in a series of books, as a tribute
of appreciation to the medical personnel of all branches of
the military and serving in any theater of operations during
all wars or conflicts that provided you with necessary or
critical medical care, even if your service connected illness
or injury was not sustained from being wounded in action.
The proceeds from the book sales are dedicated to help
build the Combat Medical War Memorial and Youth
Education Center.

********************************************

Name_______________________________________

Address _____________________________________

City _________________ STATE ____ Zip_____+_____

Phone (____)____________________________

Email ________________ @________________ . ___

Please attach your self-addressed stamped envelope for
us to return any military or current photographs that you
may provide with your “war story.” If the story of your
military medical memoir is selected for publication you
will receive the book your medical “war story” appears in
FREE. Please circle status below:

Veteran Wounded In Action
Relative of any Wounded In Action Military Personnel
Veteran of Military Medical Corps
Relative of any Military Medical Corps Personnel

Name of your relative that was a Military Patient, if not yourself:

_____________________________________________

Military Service Number _______________________

Branch _________________________

Medals ________________________________________

Rank ________ Years Served _________ to _______

Military Hospital/Medial Facility __________________

War, Conflict, Theater of Operations, Ship or Duty Post: ______________________________________________

Your Family Info: Number of: _______ Children

_______ Grand Children ______ Great Grand Children

Veterans please indicate the Veteran’s Organizations that
you are affiliated with:

[ ] Veterans of Foreign Wars [ ]American Legion

[ ] Order of the Purple Heart

[ ] AmVets [ ] NGAUS

[ ] Veterans of the Armed Forces

[ ] Viet Nam Veterans of America

[ ]Other____________________________

PLEASE PRINT THIS PAGE AND SUBMIT YOUR
TRUE MEDICAL WAR STORY BY MAIL OR FAX TO:

National Medical War Memorial
6 NE 62nd Place, Kansas City, MO 64118-4140

For Electronic Mail please provide the information
above and include your story in the TEXT of the email.

Last update: 28 May, 2006. This site first placed into service on 18 February, 2000.