{
	"type": "rich",
	"version": "1.0",
	"provider_name": "Action Network",
	"provider_url": "https://actionnetwork.org",
	
	"html": "<link href='https://actionnetwork.org/css/style-embed-v3.css' rel='stylesheet' type='text/css' /><script src='https://actionnetwork.org/widgets/v6/form/med-debt-story?format=js&source=widget'></script><div id='can-form-area-med-debt-story' style='width: 100%'><!-- this div is the target for our HTML insertion --></div>",
	"author_name": "End Medical Debt Maryland",
	"author_url": "https://actionnetwork.org/groups/emdmaryland",
	"title": "Do you have a story about medical debt?",
	"thumbnail_url": "https://can2-prod.s3.amazonaws.com/forms/photos/000/451/970/normal/EMDMaryland_Action_Network_banners.png",
	"description": "Maybe you or somebody you know has already been sued because of medical debt. Would you consider sharing your story to help save other Maryland families from the same predatory hospital practice?",
	"url": "https://actionnetwork.org/forms/med-debt-story"
}