Medical Industrial Complex Peer Support!Sign Up Form Name * First Name Last Name Pronouns (optional) Email * What is your support request * Please check all that apply Action Steps processing Conflict processing Medical provider visit (zoom) Pod Mapping & Care Work Mapping Recieving a new or difficult diagnosis Talking shit/stream of concious processing Practice scenarios for engaging with medical providers Grounding session before important conversation, appointment or procedure Something Else? Do you hold any the below identities? * please check all that apply Black Brown, Indigenous or Person of Color Disabled - Neurodivergent - Immunocompromised - Chronically Ill Queer - Nonbinary - Trans - Gender Expansive Trauma Survivor Parent of Medically Complex Kiddo Please describe your inquiry * Additional comments? What days/time (s) are you able to meet? * Please note I am most available on Mon, Thurs and Fridays. I do not work at all on Wed & Sundays. If a session needs to be on a Tues or Sat it may take longer to schedule. How much time do you want? * 30 min 45 min 60 min Thank you so much for reaching out!I will get back to you within 2 business days.You can expect an email from me either letting you know I am able to support, with days and times to meet or letting you know I cannot with resources to better support you if possible.If I am able to support, I will respond with:1. 3 best dates/times2. My pay links3. Collective Agreements for us