Virtual Hospital Interest Form

Hospital Contact Name
Hospital Location
Population
Select the percentage of Spanish speaking patients in your hospital:
Our Virtual Programs provide thirty-minute shows that are broadcast live to our online platform. Choose the best option for your patients to access our live shows.
Choose the best schedule option for your patients to access our live shows.
While it’s certainly not required, having a staff member help promote the program by passing out printed flyers can help increase viewership and impact. Does your facility have a staff member willing to assist with program promotion? (Flyers will be created by MOC and are available for download on our online platform).