Share Your Rx - Submission
Share Your Rx is a podcast for aspiring/new health providers, birth professionals, caregivers, and anyone else who believes language is powerful. Each episode tackles a common reproductive/sexual health topic and offers a variety of possible scripts with patient-centered, anti-bias, trauma-sensitive perspectives we can use in our daily work.

This is where you come in!

Have you cracked the code for a great way to explain something that is comprehensive but not condescending? Have you come up with a creative, sensitive way to broach a tricky subject? Are you skilled at distilling challenging information into the short 7 minutes we have in an exam room? Or perhaps you have suggestions based on your own preferences/experience? Share your genius with us! Fill out this brief form to get started. 

And check out some first episodes at 

Sign in to Google to save your progress. Learn more
What is your name?
What pronouns do you use?
What is your current professional role/affiliation?
(Ex: nursing student, ARNP, doula, educator, human in the world)
Are there any other identities you'd like to share with us here?
Please let us know either an email address or a phone number where we can contact you to coordinate an easy script submission. No spam - we promise.
What is the general topic you would like to share a script about?  

Consider a topic that you really enjoy discussing with patients, colleagues, at parties... Options are endless. There are some checkboxes here with topics to get your brain juices flowing, but feel free to write in your own.

TL;DR - teach us what you love.
How would you prefer to share your script?
If you are interested in a zoom call, please list a few times that would work for you to connect for 20-30 mins.
How did you hear about Share Your Rx?
Anything else you'd like us to know?
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy