Physician Side Gigs Brand Partnerships
As our group grows, we have had several companies reaching out to see if we can help them find niche physicians for brand partnerships.  If you are interested in being matched up with these, please fill out the following form.  This list will not be shared with anyone outside of our team.
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Email *
Name *
Specialty *
Phone number
Topic(s) you consider yourself an expert on or are comfortable speaking about
Do you have any titles or special qualifications/roles/relevant life experiences that may give you more authority to speak about this topic?
Do you have a website?  Please list it here.
Are you active on social media?
Clear selection
Please list your social media handles and how many followers you have on each platform
Do you have prior speaking experience?
Clear selection
If you have any links to you speaking or viral posts or videos, please put them here.
Fees (we recognize this is a vague question so just give us your best answer if somebody asked about your fees )
What types of engagements are you available for?
Where are you based out of (city/state?)
Other comments that may help us determine if this is a good fit
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