Partner Profile Form

Please help us build a comprehensive directory of experts and organizations dedicated to supporting individuals affected by substance use during pregnancy. By filling out this form, you can share details about your work, expertise, and engagement opportunities. This directory will serve as a resource for those seeking collaboration, knowledge, and support.

Join Our Directory – Amplify Your Impact

Your work is changing lives, and we want to help amplify your reach. By joining our directory, you’ll connect with like-minded partners, share your expertise, and contribute to meaningful collaborations that support individuals affected by substance use during pregnancy.

This directory will be a vital resource for those seeking knowledge, partnership, and engagement opportunities. Whether you provide community support, lead research, or offer clinical training, your contribution can drive real change.

Complete the form today and join our wonderful community that's dedicated to enhancing care, advancing research, and empowering each other!

Submission Type

Create

Update

Organization

Provide the name of your organization or your name if submitting as an individual expert.

Name

First Name

Last Name

This email address will be used to send contact requests to you. It will not be made public in the directory.

Services Offered

Indicate the types of engagement you provide, such as talks, workshops, research collaborations, or clinical training.

Area of Expertise

Specify your focus, such as community outreach, research, healthcare, or policy advocacy.

Brief Description of Work

Share a short summary of your mission, key initiatives, and impact in supporting maternal substance use care.

Preferred Engagement Opportunities

Highlight the ways you’d like to collaborate, such as speaking engagements, training sessions, or project partnerships.

Availability for Collaboration

Note your general availability for participation in meetings, events, or ongoing initiatives.

Additional Notes or Special Considerations

Provide any relevant details, such as accessibility needs, specific populations served, or funding requirements.