Patner with us

Thank you for your interest in partnering with Citizens Health Initiative. Please complete the form below and our team will contact you to discuss potential collaboration opportunities.

Get in Touch

We’re eager to hear from you and explore partnership opportunities.

Phone

+1-914 (361) 5388

Email

info@citihealth.org

Organization Name

Contact Person

Title / Position

Email Address*

Phone Number

Organization Website

Organization Type: Please select the category that best describes your organization.

Nonprofit Organization

Community Organization

Healthcare Organization

Academic/ Research Institution

Government Agency

Private Company

Foundation

Funder

Other

Brief Description of Your Organization*

Area of Partnership Interest: Select the areas where you would like to collaborate.

Public Health Programs

Community Health Education

Research & Policy Initiatives

Events & Campaigns

Funding or Sponsorship

Data & Knowledge Sharing

Strategic Partnerships

Other

How would you like to partner with Citizens Health Initiative?

ParagraphGeographic Area of Work (example: local, national, global)

Geographic Area of Work (example: local, national, global)

Additional Comments (Optional)

Consent: I agree to be contacted regarding partnership opportunities

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Citizens Health Initiative

Advocating for the healthcare every American deserve.

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info@citihealth.org 914 (361) 5388

1266 East Main St, Stamford, CT 06902

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