Email Address *

Organization Name *

Trial Type *

Target Population *

Select all that apply.

Campaign Location *

Search states, cities, or ZIP codes — just like Meta Ads. We'll connect you with the minority and Latino community in those areas.

Organization * — Select — Researcher CRO University Pharmaceutical Other

Budget (USD) * Minimum $500

Organization Website

Facebook Business Page (optional)

If provided, campaign ads will run from your page instead of Diversia Health. You must add our ad account (act_853816817130781) as an Advertiser in your Meta Business Manager → Partners → Pages. If left blank, we'll use the Diversia Health page by default.

Company Logo (required if Facebook page is provided)

PNG with transparent background recommended. Overlaid on all generated ad images.

Additional Notes 0 / 1000

Upload Content (optional)

Upload images, videos, PDFs, or zip files. Max 1 GB per file. For larger files, share via Google Drive or OneDrive.