Special Advocate Form

Serve as a point of contact and resource to assist with OOA’s advocacy efforts. We’re seeking experts with special knowledge, experience, or interest regarding Medicaid, scope of practice issues, physician employment, rural health care access, insurance, and pharmacology among other topics.


First Name:
Last Name:
Cell Phone:

Areas of Experience

Physician employment/contract negotiation
Rural or underserved health care access
Insurance issues (in and out-of-network coverage, surprise billing, private payor issues)
Opioids and/or pain management
Scope of practice issues (please indicate which mid-level(s) in the space below)
Osteopathic Manipulative Medicine/Treatment
Other Areas of Experience (please indicate in the text box below):

On behalf of the osteopathic profession, I'm willing to:

Engage with member of the media
Write a letter to the editor
Testify at the Ohio Statehouse or other public policy forums
Serve as a resource for OSTEOFACTS, Buckeye Osteopathic Physician or other OOA communication outlet
Other efforts (please indicate in the text box below):
   - denotes required fields