Media Interview Request Form | Cougar Health Services

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Media Interview Request

The staff and practitioners at Cougar Health Services look forward to every opportunity to engage in dialogue and share our expertise with our community. However, we remain committed to prioritizing student health and well-being in our effort to provide health services that are student-centered, culturally-informed, integrated, and accessible.

Cougar Health Services receives hundreds of media requests each year, and we work to prioritize these based on relevance, audience, potential reach, and timeline. While we respond to requests as quickly as we can, please provide at least one week before a deadline for us to get in touch.
Full Name*
Organization
Name of your organization or, if you are a student, please list your professor's name and your course number.
Phone*
Email*
Will the story be published/broadcast?*
Where will it be published/broadcast?*
Topic area*
This helps us with internal routing for interview requests. Select the area that is the closest match for your topic.
Topic details*
Provide a list of questions or a detailed description of your story topic. The more detail you provide, the easier it is for us to connect you with the right interviewee.
What type of story are you producing?*
What type of interview do you need?*
Please check all options that would work for your story. We will try to accommodate preferences as scheduling allows.
- In-person interview
- Phone interview
- Written answers over email
When is your deadline for completing the interview?*
Please allow for at least one week before your deadline.
Date Format: MM slash DD slash YYYY
Deadline time of day.

: HH

MM
When are you available?*
Interviews will only be scheduled Monday-Friday from 8 a.m. to 5 p.m.