Senator Ossoff is seeking to hear directly from Georgia families, patients, and health care providers impacted by rising costs of health care, rising insurance premiums, and cuts to Medicaid and other health services. To share your experience with Senator Ossoff's staff, please fill out the form below.  
 
Filling out this form is completely voluntary, for informational purposes only, and is intended to gather information to assist Senator Ossoff in his legislative work. Please note, Senator Ossoff's staff cannot represent you in court proceedings. Additionally, filling out this form cannot shield you from criminal prosecution or provide any immunity from testifying in other legal proceedings. Additionally, your submission to this form is not protected by medical confidentiality laws, such as HIPAA.