RxART Canada Project Requests
At RxART Canada, we are always working to increase our reach and impact through new hospital-artist collaborations. Please complete this form to inquire about bringing an RxART Canada project to your hospital.
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Hospital/Affiliate Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about us?
*
Please Select
Instagram/Social Media
Internet
FIGS
Word of Mouth
Other (Please specify...)
Other
*
Please provide a short description about the hospital's patient population
Submit
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