Book a Free Introductory Call | Mālama Nurse Consultants

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This link is not active. Please contact us at (831) 325-2711 or brigitta@malamaconsultants.com.

Is Mālama right for you?

Having a medical emergency? Call 911.

Are you looking for a diagnosis of new or worsening symptoms?

Yes No

Are you looking for a second opinion, or a recommendation to start, stop, or change a treatment or medication?

Yes No

Will you be in California during your sessions?

Yes No

Before you book

Pick a time

Choose a time and enter your details. After you click Book, please stay on this page — we'll take you to a few short questions so Brigitta can prepare for your call.

Please don't include medical details when booking.

Thanks for booking!

To continue, please confirm the email address you used to book.

A few questions before your call

This takes about 5 minutes. Brigitta will go over your answers with you on your call.

About you

Who is completing this form?

I am the client (the person receiving Mālama's services) I'm completing it for someone else, as their legal representative

Full name

Date of birth

Mobile phone

Your full name Your authority to act for the client

Client's full name

Client's date of birth

Your phone

Helping an adult who makes their own decisions? Please ask them to complete this form themselves — you can be added as their caregiver below.

Sharing information

— for example a family member, a friend, or another provider?

No Yes

Who may Brigitta talk with? (name, relationship, phone or email)

What may be shared? Everything discussed in consultations and the records shared with Mālama Only: Sensitive information is not shared unless you check it:

Until (optional — leave blank for one year)

Caregiver

No Yes

Caregiver's name

Relationship

Caregiver's phone or email The caregiver may:

What information may they receive? Everything discussed and the records shared with Mālama Only: Sensitive information is not shared unless you check it:

Until (optional — leave blank for one year)

The caregiver will also sign this authorization.

Session recording

and use AI tools to help prepare a written summary. You may say no — it won't affect the services.

Yes, I agree No

Review your answers

From your answers we'll prepare:

Brigitta will go over these with you on your call. You'll sign them electronically after she checks your photo ID, so please have it ready.

Thank you!

We've received your answers. Brigitta will go over everything with you on your call. Please have a photo ID ready.

You'll also receive Google's booking confirmation by email. Questions? (831) 325-2711