We know and understand that this is a sensitive issue and coming forward is difficult in many ways. If you have questions or want to discuss a potential case, you may complete this form or call 1.888.425.2020.

Have you or your child been diagnosed with an eating disorder or attempted/died by suicide that you believe was influenced by social media?
Did your child begin using social media before age 10?
Did Instagram contribute to the diagnosis or injury?
Which other technology contributed to the diagnosis or injury? (Check all that apply)
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