Investor Interest Form

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Opportunities to shape the future of care in West Africa are rare. Complete the interest form today to join us in building the region’s first fully integrated medical co working and diagnostic hub. This scalable platform is designed to empower physicians, improve patient outcomes, and bring the level of specialized upscale care once sought in Europe and the United States directly to West Africa.

Full Name

Email Address

Location (City & Country)

Phone Number

Company/Organization (if applicable)

What type of investor are you?

What is your primary investment objective?

Capital Appreciation

Income Generation

Diversification

Social Impact

Early-stage growth

Other

What is your preferred investment stage?

Pre-Seed

Seed

Series A or later

Strategic Partnerships

Philantrhropic or Catalytic Capital

What drew you to WAHP’s mission or model?

Are there specific areas of our model you’re most interested in?

Medical coworking and clinical suites

Diagnostics and lab services

Expansion and scalability

Public-private partnerships

Financials and return potential

Other (please specify)

What is your typical check size or investment range?

Would you like to be invited to our upcoming virtual investor briefing?

Yes

Clear selection

Please provide any additional comments or questions you may have.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Western African Health Partners.

Does this form look suspicious? Report

Forms