Social Media Request Form

Social Media Request Form

The Mount Sinai Health System welcomes social media content submissions related to consumer health, clinical, research, or academic work. This form must be completed to facilitate the social media post process. Due to the number of social media submission requests we receive, please allow up to 48 hours for your request to be processed.

Please note, the decision to share your request on our social media platforms is determined by the Social Media Department, ensuring alignment with our strategic objectives, brand guidelines, and best practices.

If you have any questions about the request form, please contact the Social Media Department.

Name*

Department*

Email*

Social Media Post

Social Media Post Type*

All social media posts shared include a visual asset. For video posts that need to be filmed, the Social Media Department will contact you for the production planning and process.

Image Post

Video Post

Post Description*

Please provide as much detail as possible, i.e. names, quotes, locations, etc.

Social Media Accounts to Tag*

If none, write N/A.

Link to Social Media Post Elements*

Please provide a DropBox or OneDrive link with images, videos, consent forms, or any other assets for your post.

Awareness Event*

Example: Heart Month or Rare Disease Day

Target Posting Date*

Due to the high volume of social media requests, please allow up to 48 hours for your request to be processed.

Due to our current queue is that date flexible?*

Yes

HIPAA Compliance

Are there any patients and/or caregivers referenced or included in this post?*

Select

Does this post include any diagnostic images or videos?*

Select

If YES, have all the patient identifiers been masked, blurred, or removed?*

Select

Is the data presented in this post the result of a publish or unpublished study?*

Select

Attestation

I have verified that all appropriate consents for recording and presenting of patients' images have been obtained and attached above.*

Send me a copy of my responses

Privacy Notice|Report Abuse