Have you seen a new doctor since enrolling in Medicare?

The Center for Public Integrity, a nonprofit investigative journalism organization in Washington, D.C., is interested in learning more about the process involved in seeing a new doctor for Medicare patients.

If you've been to see a new doctor since you've enrolled in Medicare, or know someone who has, our reporters would love to hear about your experience. Your insights will help inform a new investigation as part of our ongoing series looking at Medicare.

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First Name

Last Name

City

State or Province *

Postal Code *

E-mail *

Phone

Are you currently enrolled in Medicare? *

Yes
No, but I plan to enroll soon
No, and I don't plan on enrolling anytime soon

If yes, are you part of Medicare Advantage or standard Medicare?

Medicare Advantage
Standard Medicare
Other

If "other," please describe.

If you're currently enrolled in Medicare, have you recently seen a new doctor for the first time? *

Yes
No

If yes, what types of services did you receive, i.e. a physical exam, specific tests or treatments, etc?

And now, a few questions to help us get a better sense of where you're coming from.

In what year were you born?

What do you do for work?

What is your gender?

Your Information

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