Podcast Request Form

The Brain Fitness Podcast

Featured on

Guest Request Form

Brain Fitness Podcast
Hosted by Dr. Patrick K Porter, Ph.D.

Brain Fitness Podcast is designed to spread the word about the importance of brain health and fitness. The mission is to deliver up-to-the-minute news and education for anyone who is taking a brain-based approach to health and wellbeing. Please keep this mission in mind as you complete this form and prepare for your guest appearance.

Your interview will be recorded in audio and video. Please keep this in mind as you prepare.

Please ensure you have a strong internet connection or are on a dedicated computer line, that your audio equipment is in good working order, and that you are located in a quiet area.

Please fill out the form in its entirety.
Not doing so may delay or terminate the podcast interview: