Share Your Story

If you, a patient or a family member has a surgical implant of an AxoGen® product—Avance® Nerve Graft, AxoGuard® Nerve Connector or AxoGuard® Nerve Protector, you are invited to nominate them or yourself to become a Nerve Patient Ambassador. Through the Nerve Patient Ambassador program, patients will have the opportunity to create better awareness of nerve injuries and treatment options, while sharing the story of their nerve injury and recovery.

Please complete this form to the best of your ability. Once your information has been received, nominees will be contacted by AxoGen ® within two weeks of nomination.  Selected nominees will be required to sign a marketing release form allowing their story to be told publicly.

Make a Difference. Share your Nerve Story!