Skip to content

2025 Community Partner Sign-Up Form

Community-driven impact is at the heart of the Take Your Loved One to the Doctor (TYLOD) campaign. Whether you’re a healthcare provider, a barber, or a local organization, you have a vital role to play in helping Black men prioritize their health and well-being. Together, we can turn pledges into action—and action into outcomes.

Partner Opportunities:

🩺 Medical Provider Partners – Wellness Checkpoint Hosts
Clinics, hospitals, mobile units, and Federally Qualified Health Centers can:
  • Host a Wellness Checkpoint with free screenings and pledge sign-ups
  • Offer education, navigation support, and follow-up referrals
  • Provide a welcoming, stigma-free environment that builds trust

💈 Barbershop Partners – Cuts for Care Activators - Barbershop Takeover
Barbershops are sacred spaces. During our "Cut for Care" weekend, partners can:
  • Wear branded TYLOD t-shirts and encourage clients to take the pledge
  • Host health educators for free screenings on Saturdays
  • Spark conversations that normalize preventive care

🏘 Community Outreach & Education Partners
Churches, HOAs, fraternities, nonprofits, and civic groups can:
  • Promote the TYLOD pledge and events via bulletins, newsletters, and social media
  • Distribute campaign materials and connect residents to screening events
1.Name(Required.)
2.Phone Number
3.Email(Required.)
4.Organization Name(Required.)
5.Address(Required.)
6.Organization Type(Required.)
7.How will you support the campaign? (Check all that applies)(Required.)
8.Estimated Number of People Who Will Receive Your Message(Required.)
9.Which of the communication channels listed below does your organization currently use, and approximately how many people do you reach on each platform?
By submitting this form, I agree to receive updates, resources, and partnership opportunities related to the 'Take Your Loved One to the Doctor' campaign. I understand that my information will be used to support my participation in this health initiative and to keep me informed about ways to promote preventive care in our community. I can opt out or update my preferences at any time.