First Name

Last Name

Phone *

Email *

By checking this box, I consent to receive non-marketing text messages from [BUSINESS NAME] about [USE_CASE_FROM_CAMPAIGN_DESCRIPTION]. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others, from [BUSINESS NAME] at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

What products, services, technology, resources, or networks could your organization bring to the partnership?

Approximately how large is your current user or customer base?

What are you looking for from FreeHealth.ai?

What type of agreement or formal relationship would best describe the potential partnership?

Do you have relationships or networks within healthcare, technology, investment, or other areas that could support FreeHealth.ai's growth?

Yes

Current Role / Position

Please briefly describe your current role, organization, and relevant leadership experience.

What areas of FreeHealth.ai are you most interested in supporting?

Healthcare

AI / Technology

Business Development

Are you interested in exploring an investment opportunity with FreeHealth.ai?

Yes

I'd like to learn more