You don't need to have every detail organized before you reach out. Start with what's changing, what's been tried, and what feels most urgent, that's enough to begin.
We talk about what's going on, what you need most, and whether I'm the right fit. There's no obligation, and you don't need to have records ready.
We take a closer look at your health history, what's been tried, what matters most to you, and your goals. If it's easy, have a list of your current providers and medications nearby. If it's not, we'll build it together.
Within five business days after the assessment, I create a written plan with what I found, specific next steps, and estimated time and cost. We review it together, and nothing begins until you approve it.
I carry out the plan with you, communicate by phone, video, or email, and keep you updated in plain language. I follow up on open items until each one is resolved or you decide to move on.
We communicate by phone, video, and email. Texting is for scheduling only, with no health details. Documents are shared through a secure folder. My public hours are Monday–Friday, 9 a.m.–5 p.m. Pacific. New inquiries receive a response within 1–2 business days; active clients hear back within one business day, often sooner.
You can pause or end our work at any time with written notice. If the scope changes, we'll agree on it in writing before new work begins. When we finish, you'll receive a closing summary and your organized records. Unused prepaid time is refunded.
Your introductory call is free. After the in-depth assessment, your written action plan includes an estimate of time and cost, and no work begins until you approve it. Independent advocacy is private-pay, which is part of what keeps me independent: I answer only to you.
The free introductory call is 20 minutes, with no obligation and no records needed. We talk about what's going on, what you need most, and whether I'm the right fit. If we work together, we'll sign a simple written agreement, and you'll give me written permission to speak with your providers. Nothing begins until you approve the written action plan, including estimated time and cost. Please keep detailed medical records out of your first message.