Thank you for your interest in partnering with BirthSync — a community-built platform designed to bring structure, visibility, and data equity to maternal and perinatal care.

We’re currently onboarding our first round of partners, collaborators, and sponsors for the next phase of development and implementation.

Please share a few details below so we can better understand your goals and how BirthSync might support your organization or initiative.

First Name

Last Name

Organization

Org Role or Title?

Phone *

Email *

Website

Postal Code

Section 2: About Your Work

What best describes your organization? *

Nonprofit / Community Organization

Training or Certification Program

Agency or Group Practice

Academic or Research Partner

Health System or Hospital Affiliate

Funder / Grantmaker / Sponsor

Other

Select all that apply.

Primary Area of Focus

Examples: Doula training, postpartum care, perinatal education, lactation support, midwifery, community outreach, etc

Number of active staff, providers, or trainees you support: *

1-5
6-20
21-50
51-100
100+
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Section 3: Your Interest in BirthSync

What are you most interested in exploring?

Pilot partnership or early implementation

Enterprise or white-label licensing

Integration into a training or certification program

Data reporting or research collaboration

Sponsorship or funding support

Platform Demo or Walkthrough

Something Else

What problems are you hoping to solve or improve with technology?

How soon are you hoping to implement a system or explore partnership?

0-3 months

3-6 months

6-12 months

Would you like to receive updates about BirthSync features, pilot opportunities, and research collaborations?

Yes

Not at this time.

Anything else you’d like us to know?

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