Hoosier Voices & Sharing Your Story

Prescription drug abuse is a growing epidemic affecting all manner of people, from the all-star student -athlete, to the corporate executive to the single mother. No age, race, social class or geographic location is above the dangers of prescription drug abuse or misuse. These stories provide a glimpse into the impact that prescription drug abuse and misuse has had on the lives of local Indiana residents.


“Sobriety is the Best High”


“Too Close to The Supply”


“My Two Pills”

Those impacted by the effects of prescription drug abuse and misuse may help make a difference in a fellow Hoosier’s life by sharing their story and experience. Please consider submitting your story. Every story matters.

UPON CONSENT issued for the various media, these true stories will be collected and utilized/reformatted for medium appropriateness. The goal is to create a diverse tapestry of the faces in Indiana affected by prescription drug abuse with the intent to minimize its impact for all Hoosiers and their loved ones. Thank you for considering volunteering to share your story and consent to use it publicly in a way that honors its intent.
I hereby release my image, likeness and the sound of my voice, and/or words, as recorded for use in a video documentary. I agree that the footage may be edited and used, in whole or in part, in all media, including, but not limited to, audio and production video cassettes, CD‐ROM, DVD, Internet, radio, television, satellite and cable broadcast, print, and for all other related purposes in perpetuity throughout the state of Indiana.
I consent to the use of my name, likeness, voice and basic biographical information in connection with the distribution and promotion of the attached “Prescription Drug Abuse Awareness Campaign”. I understand this is a volunteer basis and I will not receive payment of any kind for the sharing of this information.
I expressly release THE STATE OF INDIANA / OFFICE OF INDIANA ATTORNEY GENERAL/ AND THEIR AFFILIATED ASSOCIATES, from any defamation and other claims I may have arising out of the above‐described materials and hereby waive all rights to inspect and approve the finished product or its use.

Please check this box if you agree to the above information.


Do Not Use Punctuation such as commas, periods, or hyphens when filling in the form.
Basic Reference Info:
Required Is the story you wish to share your own personal journey with prescription drug issues?
Personal Journey or Not Yes
Someone close to me*
*If named, they too may require a signature of disclosure.
Required To whom do you believe that your story will most appeal to from an audience standpoint?
(For example, mothers, fellow individuals of similar professions, other teens, etc.)
Required In approx. 250 words or less, tell us your story of prescription drug abuse/under awareness:
Required If time were reversed, at what point do you feel there was a “tipping point” that could have changed everything?
Required At what point did you suspect addiction?
Required Describe the progression of the problem.
Required Where were the prescription drugs obtained?
Required What information could have been provided to make a difference in your awareness of the possibility of addiction?
Required What resources would have been beneficial to change this outcome?
Required In one or two sentences (beyond “Don’t do drugs…”) what message would you like people to take away?

Thank you for sharing your story. Please note: Due to the number of responses, we will not necessarily contact all individuals directly. However, we will review each of them for consideration of use.