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INFLUENCER
Pranay Parikh, MD
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From MD to Entrepreneur
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INFLUENCER ACCESS
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Update ONLY the fields that need it.
Influencer Name + degrees, e.g., "First Last, MD, PhD" or if anonymous, Influencer name = Listing name
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1. I understand that completing this form does not guarantee that this information will appear on thephysicianproject.com. The information I provided will be reviewed and I will be notified if my entry has been accepted or not.
2. If my entry is approved, I am allowing The Physician Project to display all of the information I have provided in this form except my email on thephysicianproject.com.
3. I understand that I will be able to view, edit, and update my information if it is added to thephysicianproject.com.
4. I understand that I can request the removal of my information from thephysicianproject.com using the CONTACT US form at https://www.thephysicianproject.com/terms
5. I understand that if the information I provided in this form becomes outdated (as determined by The Physician Project) it may be removed from thephysicianproject.com without notice.
6. I understand that there is no fee or compensation for adding my information to thephysicianproject.com, and there is no fee for editing my information on this website.
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Update influencer links
Email associated with your Listing(s)
ALL EXISTING INFLUENCER SOCIALS REMAIN UNCHANGED UNLESS UPDATED ON THIS FORM.
Update ONLY the fields that need it.
Your Personal Facebook
Your Personal Instagram
Your Personal X
Your Personal TikTok
Your Threads URL
Your Personal YouTube/Google
Your Personal LinkedIn
Your Personal Pinterest
Your Personal SoMeDocs
Your Personal Doximity
Your Personal PhysicianCoaches.com
Checking this box and completing this form means you understand and agree with the following statements.
1. I understand that completing this form does not guarantee that this information will appear on thephysicianproject.com. The information I provided will be reviewed and I will be notified if my entry has been accepted or not.
2. If my entry is approved, I am allowing The Physician Project to display all of the information I have provided in this form except my email on thephysicianproject.com.
3. I understand that I will be able to view, edit, and update my information if it is added to thephysicianproject.com.
4. I understand that I can request the removal of my information from thephysicianproject.com using the CONTACT US form at https://www.thephysicianproject.com/terms
5. I understand that if the information I provided in this form becomes outdated (as determined by The Physician Project) it may be removed from thephysicianproject.com without notice.
6. I understand that there is no fee or compensation for adding my information to thephysicianproject.com, and there is no fee for editing my information on this website.
Update
Add influencer description or image
Email associated with your Listing(s)
Influencer Description (max 1500 char)
May we COPY & UPLOAD an image from your URL?
Yes, I permit The Physician Project to borrow my image and apply it to my influencer page.
No, I'd prefer that no image a stock image be used.
URL of Influencer Image (page where image is found)
Checking this box and completing this form means you understand and agree with the following statements.
1. I understand that completing this form does not guarantee that this information will appear on thephysicianproject.com. The information I provided will be reviewed and I will be notified if my entry has been accepted or not.
2. If my entry is approved, I am allowing The Physician Project to display all of the information I have provided in this form except my email on thephysicianproject.com.
3. I understand that I will be able to view, edit, and update my information if it is added to thephysicianproject.com.
4. I understand that I can request the removal of my information from thephysicianproject.com using the CONTACT US form at https://www.thephysicianproject.com/terms
5. I understand that if the information I provided in this form becomes outdated (as determined by The Physician Project) it may be removed from thephysicianproject.com without notice.
6. I understand that there is no fee or compensation for adding my information to thephysicianproject.com, and there is no fee for editing my information on this website.
Update
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