Welcome to Complex Care Advocacy
We are honored to have the opportunity to advocate for you or your loved one. Please complete the following steps so that we can begin our work as quickly as possible.
Service Agreement Form
This form outlines the scope of our services and the terms of engagement.
Once submitted, you will automatically be directed to the next form.
Authorization for Use and Disclosure of Health Information
This form allows us to communicate with relevant providers and agencies as needed to assist you. If you are not automatically redirected, you may also access it using this link.
Payment Submission
After completing both forms, you will be directed to our secure payment page. Please note that completion of both forms and payment submission is required before we can begin our work.