I’ve Contacted My Legislator Form Have you contacted your legislator? Name (person filling out the form)* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* * Yes, I contacted my legislatorDate of contact with your legislator MM slash DD slash YYYY Name of legislator:* First Last Type of contact made*Phone call / voicemessageEmail / website formAppointment and visit (including zoom) with representative and/or legislative staffIf you had a visit (or zoom meeting), did you speak with your elected representative, with staff or both? If you had a visit (or Zoom meeting), please provide the names of legislative staff in attendance.If you had a visit (virtual, phone call or Zoom meeting), please list the names of all in the meetingNotes and overall impressionsIf you had a visit or phone contact, did the representative seem familiar with the issues, have a positive or negative response and/or did they express support for a Licensed Midwife Board or not.Is there any need for follow up with staff, please explainIf you had a visit or phone contact, did the representative have questions necessitating follow up, for instance more detailed information about the difference between LMs and CNMs? ShareTweetPinShare0 Shares