Our Bodies Our Doctors Screening Request
Please fill out the screening request form below. There is a one time fee of $150 for the screening license. Once we receive your request form, we will send you a payment link and a screening kit.

The screening kit includes:
-A digital movie file
-A license to screen the film one time
-Customizable fliers to easily advertise the screening
-Tips and templates for using social media to advertise the screening
-A discussion guide to help facilitate meaningful conversations after the screening

Thank you for your interest in screening Our Bodies Our Doctors!
First Name: *
Your answer
Last Name: *
Your answer
Email: *
Your answer
Phone Number:
Your answer
Organization Hosting Screening:
Your answer
City and state where screening will be:
Your answer
Venue of Screening:
Your answer
Anticipated Screening Date:
MM
/
DD
/
YYYY
Anticipated Number of Attendees:
Your answer
Would you like Jan Haaken to attend the screening?
How did you hear about Our Bodies Our Doctors?
Your answer
Questions or Comments:
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