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 * Please include anyone who will need to review the materials before 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 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? * Provide the following information: what is the service, is it a new or existing service, how does a patient access this service (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 does the target look like? * Current symptoms, diagnosis, etc. 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? 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