Be sure to double-check that your contact information is correct, so the clinician can contact you! Please note that Clinicians of Color does not store your message, but a copy will be sent to you and to the clinician. Please note that email is not a secure means of communication and a number of factors (including spam filters) can prevent the clinician from receiving, reading or returning your email. Because of this, we cannot guarantee any contact from the clinician or their office. If this is a concern, we recommend you take down their phone number and contact them directly.

If this is an emergency do not use this form. Call 911 or go to your nearest hospital.