Name * First Name Last Name Email * Phone * (###) ### #### Have you been Dr. Mirer’s patient before? * Yes No Please list at least three dates on which you are available for a call with Dr. Mirer, along with time windows for each date. * Would you prefer a phone call or Google Meet? * Phone Google Meet What else should Dr. Mirer know before your call? Thanks. You will get an email from Dr. Mirer soon to confirm scheduling your meeting. Sign up for a free Discovery Call with Dr. Mirer