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Insurance denials: your help is crucial!

Hello:
We want to hear from you. This quick survey is designed to capture your firsthand experiences with insurance denials for medications and treatments your physician prescribed, especially when those denials were repeated or difficult to resolve. The survey takes only a few minutes, though you're welcome to write as much as you'd like. Your responses are completely confidential unless you choose to share your contact information and allow us to use your feedback. Participation in that step is entirely your choice. Thank you deeply for your time and support — your voice matters.

Click "NEXT" below to get started.

How many insurance denials of medications prescribed by your physician have you experienced in the last 3 years

one

two

three

More than three

Your experiences matter — please tell us about your insurance denials, whether they happened recently or in the past, and feel free to share as much as you'd like.

Contact information (optional)

First Name

Last Name

Email Address

Custom Title