This short survey gives me a general idea of your health care needs and desires. Upon completion and submission of the survey, I’ll contact you to set up a complimentary 15-minute call to determine if we’re a good fit to work together. During our call, I’ll get a better sense of what your healthcare needs are and share with you how I work and the support you’ll receive. By completing this form, I will be able to come to our initial call well informed about who you are and how I might best support you. All information is confidential.