Directory Feedback & Suggestions
Please use this form to provide anonymous feedback about the providers listed in the LGBTQ+ Health and Wellness Resource Directory.  

Give detailed accounts of your experiences with individuals as well as practices,  as we will consider this information when deciding who to include/exclude in future publications.  

If there is a provider or group you think should be added to our list, you can name them here as well.

Also, any corrections to the information listed - such as updated address, phone numbers or emails is appreciated.

Suggestions are always welcome in the 'Feedback' and 'Additional Comments' sections.

More to say? You can email us at contact@raialbany.com.

Thank you!
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Date of service:
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Name of Provider:
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Additional Comments:
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