Request edit access
Are you interested in learning How To Advocate For Your Healthcare?
Are you interested in learning more about workshops/coaching on building a patient-centered relationship with your healthcare team, meditation, mind, body, soul, health & wellness? Please complete the form below and a team member will be in contact within 48-72hrs.
Sign in to Google to save your progress. Learn more
Untitled Title
How To Advocate For Your Healthcare
Do you have a copy of the book? *
Name *
Phone *
City/State *
What challenges if any are you facing with your healthcare or in life? *
Are you interested in virtual training or teletraining *
Which workshop/coaching sessions are you interested in? *
Disclaimer: I understand  that workshops and coaching with Shantana Hazel (Maye) does not dispense medical advice or prescribe any technique as a form of treatment for physical, emotional, or medical problems without the advice of a physician, either directly or indirectly. The facilitator or any staff member associated with Sister Girl Foundation intends to offer information of a general nature to help me in my quest to advocate for my health and wellbeing. In the event I use any of the information in these workshops/coaching for myself, which is my constitutional right, the facilitator nor any staff member assumes no responsibility for my actions.  I take full responsibility and hold myself accountable for my mindset, behavior, professionalism and skillset. My results are based on the work I put in. I understand that Shantana Hazel (Maye) nor any staff member of the Sister Girl Foundation can guarantee my results. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report