Medical Buddy | Simple Safety Info by Bloom Health Guard, LLC

Medical Buddy and Patient Advocate

Empowering patients to navigate healthcare and medication safety confidently, our Medical Buddy will serve as your patient advocate by providing personalized support during doctor’s visits – either by phone or in-person. We assist with clarifying medical information, preparing questions, and ensuring patients fully understand their care and medication options and/or plans.

Do you attend your doctor’s visits alone?
Do you feel rushed during your appointments?
Do you feel like you are struggling to remember instructions or follow-up steps?
Do you feel overwhelmed by the complexity of your condition or treatment plan?

We offer expert support at your doctor’s appointments. Our Medical Buddy and Patient Advocate will attend your doctor’s visits with your permission and at your discretion to clarify information, answer questions, and ensure you feel heard.

We offer a Medical Buddy who can explain things clearly and simply.
We offer a Medical Buddy who will listen attentively and ask clarifying questions.
We offer a Medical Buddy who can help you prepare a list of questions to ask their doctor.
We offer a Medical Buddy who will advocate for your needs and ensure they feel heard.

We appreciate advance notice whenever possible. Ideally, we request a one-week Medical Buddy request notice. However, if you have an appointment within the next 48 hours, we will do our best to assist. Please be aware that any cancellation request must be made within 24 hours of your scheduled Medical Buddy attending your appointment.

Not Sure if You Need a Medical Buddy - Email us at info@bloomhealthguard.com

Name *

First

Last

Email *

Email Address

You visit? with

Phone Number *

no dashes

Medical Buddy Services (to attend doctor's visits with you) *

Select the option that best describes the type of doctor's appointment which you would like a Medical Buddy to attend with you!

What is the location, date, and time of your doctor's visit? *

Duke Hospital, December 19th, 2pm

Will a family member be attending also or will you be alone? *

Please confirm by typing in the name of the drug, what disease is being treated, and daily dosing (copy) *

e.g., Lisinoprol for High Blood Pressure 40mg/day

Provide brief relevant treatment and medical history *

Provide the exact type of doctor's appointment (initial or follow-up) *

Please confirm by typing in the exact specialty or type of doctor's appointment you need a Medical Buddy to attend with you.

What are your biggest struggles in managing your illness or medical condition? *

Please provide information about your health or medication concerns (How can we help?)

Are you experiencing any challenges as you try to understand and manage your healthcare or medication plan?

Would you like assistance in reducing the anxiety, fear, or stress associated with navigating the healthcare system and understanding complex medication information at your next doctor's visit?

Confirm You Understand the Request and Cancellation Process and Turnaround Time *

Yes, I confirm I understand the statement below

Confirm You Understand the Medical Disclaimer *

Yes, I confirm I understand the statement below

Medical Disclaimer: Consult your physician before you stop or start taking any medication. The Medical Buddy does not provide medical advice. We do not take liability or responsibility for any information provided during your doctor's visit.

Bloom Health Guard, LLC - Authorization for Use and Disclosure of Protected Health Information *

Yes, I confirm that I have read and understand the HIPAA statement below
Yes, I authorize

Authorization for Use and Disclosure of Protected Health Information "By submitting this form, you acknowledge that you are providing diagnostic information for medication research, analysis, and/or patient health literacy consultation. You agree to allow us to handle your information in accordance with HIPAA regulations. Please review the full authorization (you will receive an email PDF for signature). Your data will be used solely for medication research, analysis, and/or patient health literacy consultation and protected in accordance with applicable privacy laws."