Media or Advertising inquiry form
We help you find media-trained, black doctors for media citations, TV appearances, speaking engagements, brand campaigns, and more. You can also use this forms for any media inquiries about our service or advertising inquiries
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
***If you just want to contact us about advertising on our platform, our newsletter, or in some other way, type "Yes" here and submit this form
Media outlet
Type of media platform
online
print
television
book
brand campaign
public speaking
consulting
podcast/radio
media tour
Other
What type of doctor are you looking for (specialty)?
What is the urgency?
In a few words, please describe your needs:
How would you like the doctors to reach out?
directly via email
They can call me
I'd like their contact information
other
If other please explain
Submit
Should be Empty:
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