I recommend completing your complimentary 15 minute introductory consultation prior to completing forms. Then please complete all required forms before first paid consultation.

STEP 1: COMPLETE FORMS

STEP 2: NEXT INSTRUCTIONS

After submission, you will receive instructions to schedule your consultation.

*If you have any difficulty completing the forms, please reach out to me for assistance.

Disclaimer:
Patient advocacy services provide guidance and support in navigating healthcare systems and medical information. These services do not replace medical care or establish a provider-patient relationship. Our services do not encompass clinical or medical advice, assessments or care plans, diagnosis, prescription or treatment, or the practice of nursing in your state. We focus on removing barriers and coordinating quality patient centered care through appointment support, note taking, facilitating communication between patient and care team, providing non-clinical education