Host A Screening

We believe that Doctor/Patient can be a catalyst for hope and inspiration for doctors and patients alike. This impact is most profound when we are able to come together and share in the experience. If hosting a screening resonates with you, please fill out this application, and we'll connect with you to discuss your event.

Name

First Name

Last Name

Organization

Email

I am interested in booking Dr. Jill for a post screening Q&A

I am interested in booking the filmmaker(s) for a post screening Q&A

Provide a brief description of the event

Approximate Audience Size

1 - 50

50 - 100

100 - 200

200+