Share Your CyberKnife Story


First Name*

Last Name*

City*

State*

Email*
 

Reenter Email*
 

Phone* (xxx-xxx-xxxx)

Birth Date (mm/dd/yyyy)

Sex*

CyberKnife Facility

Country:

CyberKnife Doctor(s)

CyberKnife Treatment Completion Date
(mm/dd/yyyy)

Upload Photo (Please upload png, jpg, or gif images only. Files should not exceed 1 MB in size)
 

Enter Story*
 

  * I hereby grant Accuray Incorporated the right to use my submission, which may include my name, voice, likeness, biographical information, and personal/family story. I understand that Accuray may make use of the picture, text or any part of the submission in connection with Accuray’s business and that the submission may be cut, edited, modified, and revised for any reasons in Accuray’s sole discretion.

I understand, acknowledge and agree that I will not receive any compensation pursuant to my submission, whether or not the submission or any portion thereof is utilized by Accuray. I also agree that Accuray may contact me for more information if I provide my contact information.