Become A Partner

We are excited you wish to join movement to help doctors and healthcare providers know your story, and the stories of your LGBTQ brothers and sisters.

By submitting just a couple pieces of information and a logo/image below, we will be able to provide you with your own co-branded set of Healthcare Bill of Rights materials to post and print. To ensure the quality of partners, we are manually approving all requests. Keep an eye on the email account you provide below (check spam folders, of course) for notifications about your request.

Thanks again. Please contact us directly if you have questions or difficulties submitting this form.

Submit Partner Request

Maximum size: MB

Uploaded image

Crop Your Image

  1. Click 'Choose File' and select (double-click/tap) a file from your computer/device.
  2. When your image appears, you may use the square handles on the crop box to select the part of the image you wish to upload.
  3. IMPORTANT: IF YOU NEED TO ROTATE the image, crop the part you want to keep. You will be able to rotate the image after it loads on the page.
  4. When the portion of the image is selected (it's clear, not "greyed out"), click 'Crop/Save'.

Contact Us

Phone: 954-765-6024

  • LGBT HealthLink logo
  • Corey Prachniak logo
  • CenterLink logo
  • Promo Fund logo

This website and its supporting materials are supported by the Grant Number 5 NU58DP004996-03-00 funded by the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention or the Department of Health and Human Services.

Healthcare Bill of Rights/HealthLink
P.O. Box 24490
Fort Lauderdale,FL 33307

Phone: 954-765-6024

© 2024 Healthcare Bill of Rights
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