Custom Campaign Request

Submit a Custom Campaign Request

Looking to send a custom campaign to your patients? We're here to help!

1. What is the name of your health system? *This question is required.

2. What type of campaign would you like to launch? (Check all that apply) *This question is required.

Email
SMS message
Push notification

3. What language(s) would you like to launch the campaign in?

*Please note: If you would like to send a campaign in Spanish, you will need to provide the translations. *This question is required.

4. For email, please provide the subject line in English: *This question is required.

4. For email, please provide the subject line in Spanish: *This question is required.

4. For email, please provide exact copy for the body of the message in English: *This question is required.

4. For email, please provide exact copy for the body of the message in Spanish: *This question is required.

4. For email, if you would like any images, flyers, or PDFs, please upload them here:

File: {{filename}} delete

4. For SMS, please provide exact copy for the SMS message in English. (Note: Please limit copy to 160 characters or less.) *This question is required.

4. For SMS, please provide exact copy for the SMS message in Spanish. (Note: Please limit copy to 160 characters or less.) *This question is required.

4. For push notification, please provide exact copy for the message in English. This will appear as a pop-up on the patient's device. *This question is required.

4. For push notification, please provide exact copy for the message in Spanish. This will appear as a pop-up on the patient's device. *This question is required.