Your first name:
Your email address:
Your phone number:
(optional)
Patient's zip code:
Patient is: Male       Female Age
I need to find someone who can help with:
Medical / Navigational Assistance (Helping you work with your medical providers.)
Background Research: Diagnosis, Medical Records, Treatment Options and more
Hospital Bedside, or Travel / Accompaniment to Appointments
Shared Decision Making (formal process of benefit to patients - read more in SERVICES)
Medication Reviews: Prescription Drugs, Over-the-Counter, and Supplements
Geriatric / Eldercare or Home Health Services
Integrative, Holistic, Complementary and Alternative Therapies
Mental Health and Substance Abuse Assistance
Pain Management
Pregnancy, Birth and Pediatric Assistance
Health Insurance: Choices and Review
Medical Bills, Claims and Denials: Review, Reduction, Negotiation
Insurance Claim Filing Assistance for Disability or Long Term Care
Guardianship / Conservatorship / Fiduciary Care
Mediation (Helping families manage health-related disagreements)
Legal Assistance including SSDI (Medical / Healthcare Related)
End of Life Decisions, Planning, and Paperwork
Dental Advocacy (from dental decisions to billing problems)
Prevention (Prescription Drug Review, Health/Wellness Coaching, Weight Loss, Immunity, Others)
Medical Tourism - global travel for medical care purposes, to, from or within the US or Canada
Please describe the problem you need help to solve:
(limit 100 words)
How can an advocate help you solve this problem? Please make a specific request.
(limit 100 words)
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