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InspireHealth Ambassador Interest Form

Share Your Story

InspireHealth Ambassadors are an essential component in highlighting the important work we do.

Every experience with cancer is unique and deeply personal, filled with moments of courage, reflection, and growth. If you are comfortable, we would be incredibly honoured if you shared how InspireHealth has helped you on your journey. Your experiences can inspire and bring hope to others who may benefit from the care and community we offer.

To ensure we collect accurate information and understand your ambassador preferences, we kindly request that you complete the form below.

Thank you for your support!

InspireHealth Ambassador Interest Form 2025

"*" indicates required fields

Name*
Email*
Have you been diagnosed with cancer or with a genetic predisposition to cancer?*
Which InspireHealth programs or services have you accessed?*
(select all that apply):
How would you prefer to share your testimony?
(select all that apply):
How do you approve your testimony to be shared?
(select all that apply):
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