Community Partner
Interest Form

Online Form takes 4–5 minutes

Audience

Medical associations, clinician networks, professional societies, student/resident groups, and health-sector outreach organisations.

Community Partner Interest Form (Online)

Thank you for your interest in supporting PrAImaan. Organisation and reach. Someone from our team will get back to you shortly.

Name of organisation/network *

Organisation type *

Professional medical associationClinician networkMedical student/resident organisationCivil-society/health organisationAcademic networkOther

City and State *

Primary clinician groups reached *

Medical internsMBBS graduatesResidents/postgraduate traineesMedical officersFaculty/consultantsOther clinicians

Approximate active reach *

Fewer than 5050-100More than 100

Main communication channels *

EmailWhatsAppSocial media

Primary contact

Full name *

Designation *

Official email address *

Mobile number *

Proposed contribution

Estimated number of eligible clinicians you could reach or refer per campaign *

Fewer than 5050-100101-500More than 500To be confirmed

May PrAImaan publicly identify your organisation as a community/outreach partner? *

YesFull consent to display logo and name.Yes, subject to final approvalConditional consent (requires brand/logo usage review prior to publication).NoWe prefer to support anonymously.

Required fields completed0 of 12

Go to platform

PrAImaan is a strategic collaboration between the ICMR-NIRDH and Ashoka University. The platform draws inspiration from MOOVE, developed at the LiGHT Lab, EPFL, adapting world-class methodology to the Indian healthcare ecosystem.

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