ask our doctors

SOCAL ONLY: Pregnant & Worried About Health Dangers?

Are you pregnant?

Do you wonder about the possible health complications from various chemicals and things you could be exposed to, natural or synthetic?

Have you seen the signs posted on buildings about toxic chemicals?

Would you like to ask some top physicians about possible dangers?

If you or someone you know is pregnant, living in the Los Angeles area, and worried about health tell me a little bit about yourself.

first name:	*
last name:	*
birthday:	*
E-mail address:	*
street address:	*
additional address:
city:	*
state:	*
province/Region (if not in U.S.):
zip/Postal code:	*
country:	*
day phone:	*
evening phone:
cell phone:
are you willing to appear on the show:	Yes No *
children's ages?:

I understand and agree that I am submitting ideas to The Doctors for use by The Doctors show and web site in any manner whatsoever without any further obligation or compensation to me and that I have read and agree to the Terms of Use , which governs my submission.