Form Center

2. 

4. Submit your content to us to be featured in the HIPMC newsletter!

   Would you like to highlight the work your company/organization is doing to improve health in the community? Or, is your company/organization hosting a training or event that you would like promoted? Tell us about it! We are looking for content to feature in the HIPMC newsletter and would love to include your ideas.

   
   

   Please complete this form to provide us with the details needed to draft content for the HIPMC newsletter. Be sure to include a detailed post title and description, and attachments if applicable. We may contact you if additional information is needed.

   
   

   We will try our best to accommodate every submission we receive. The HIPMC newsletter publishes on the second Thursday of each month. If you're submitting content for an event, a meeting, or training that has a deadline, please submit with enough time in advance so that we can accommodate your request before the date. 

   
   

   For questions or comments, please email us at hipmc@maricopa.gov.

   
   

   Are you on our email list? Sign-up to join today!

8. Are you a member of HIPMC?*
   -- Select One --YesNo
10. Which company/organization do you represent?*
12. First name*
14. Last name*
16. Email*
18. Phone number
20. Type of submission*
    -- Select One --Partner highlight/success storyCommunity event or meetingTraining or professional development opportunitySuggested newsletter topicOther
22. Submission title*

    Please give a title (name) to the content you're submitting.

24. Submission description*

    Provide context to the content you're submitting- who, what, where, when, and why. Also, include URL links here if applicable.

26. Attach an item

    Attach your image, flyer, or other relevant item here. Acceptable file types include PDF, PNG, JPG, and DOCX.

28. Attach another item

    Attach your image, flyer, or other relevant item here. Acceptable file types include PDF, PNG, JPG, and DOCX.

30. Do you give us permission to share your submission on social media, if applicable?
    -- Select One --YesNo
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field