Media Interview Request Form | Cougar Health Services

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While we respond to requests as quickly as we can, please provide at least 48 hours before a deadline.

If you do not specifically require an interview with staff, you can also request an outreach or contact us for other inquiries.
Full Name*
Organization
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 that aren't for publication. 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?*
[INFO ON NUMBER OF DAYS' TURNAROUND]
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.