Please use this form to request a portrait of your loved one who died from COVID-19 while working as a healthcare provider. We will do our best to match you with an artist. Please allow up to 1 week to receive a response.

Your Name

First Name

Last Name

Your email

Your Phone #

(###)

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What city and state do you live in?

Name of Family Member

Family Member's Profession

Hospital/Organization/Company, include city and state

How did you hear about Hero Art Project?

Is there anything else you would like to share with us?

REQUEST A PORTRAIT