CoxHealth Brand Request Marketing Support Your marketing team is here to help. By providing the information below, you'll help us develop a great solution. You may expect a response from your marketing representative within a week. * Required Fields Your name * Department Name * Approving director * Stakeholders * Anyone who will need to review and provide input to materials prior to approval. Today's date * Example Format: MM/DD/YYYY Target audience Children Young adults Adults Senior adults Business Medical professionals Other Target Region * Springfield Branson Monett Barton County Other Requested completion date? Example Format: MM/DD/YYYY Please note - projects that flow through the Marketing department are assigned pre-set timelines. Your strategist will discuss timelines with you. What are you trying to communicate? * What is the service or opportunity, is it new or existing, how do patients or customers access this service or opportunity (self-refer, provider referral, etc.)? What do you want to accomplish? * Grow volume, create awareness, gain referrals, etc. what are you trying to achieve with this marketing effort? What is the benefit of this service to the patient? * New service option, won't have to travel for this service, cost effective, relieves symptoms? What are the key attributes of the target audience? * What are their current symptoms, diagnoses or behaviors? What is their gender, if applicable? What do you know about their preferences related to this service or opportunity? GL and billing account * Have a budget? If yes, how much? * Contact information * Please provide he current phone number, fax number, address and department name. Competition * Who is our competition in the market? Access * What is current access to the service like? How many days out for first available appointment, if applicable? Delivery information * If delivery address for materials is different than address listed above. Other information you'd like us to know? * leave this field blank to prove your humanity