Share Your Story as a Provider Your Name* First Last Email Address*We need this so we know you're a real person! Address*We need this to determine your legislators. Your address will not be published or shared. Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What is your role in treating those who require medical nutrition?* What conditions do you treat?* Inherited Metabolic Disorder/Inborn Error of Metabolism & Disorders on the RUSP (Including CF) Medical or Surgical Condition of Malabsorption Allergies to Food Proteins Inflammatory or Immune-mediated Condition of the Alimentary Tract Other (please indicate below) Enter any additional conditions not covered above, or your areas of focus. Please share how current medical foods coverage affects your practice. Questions to consider include: How much of your time/your clinic's time is spent managing coverage for medical foods? How does that time affect to health care costs and quality of care? (direct or indirect) How do insurance barriers for medical foods impact patient care? Does the lack of medical foods coverage inhibit treatments and therefore health outcomes? How does not having full/reliable medical foods coverage affect your patients' health? What is your biggest frustration as a provider with medical foods coverage? How does medical foods coverage affect your practice?*Specific ExamplesPlease provide any specific examples of patients who have been impacted by the lack of medical foods coverage. If you have documents/photos you'd like to include, please upload below Drop files here or Select files Max. file size: 1 MB, Max. files: 5. CAPTCHABy submitting this form you are agreeing that your story, without your full name or any contact information, may be used by the Patients & Providers for Medical Nutrition Equity on this web site, affiliated social media, and materials produced in support of their mission.PhoneThis field is for validation purposes and should be left unchanged. Δ
