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Health Department

Health Department Community Event Request Form

Community Event Request Form Instructions

Thank you for your interest in having programs and staff from Metro Public Health Department (MPHD) participate in your upcoming event. If your event is within the next three to eight weeks, please completely fill out the form below.

If you want to request the use of meeting space at Lentz Health Center, please submit the form at the end of the guidelines found here: Public Application for Lentz Centennial Rooms

All requests are reviewed once received. Please note our ability to honor your request is based on staffing, date and target audience. This form only acts as a notification to the appropriate person or programs to request participation.

The Health Department does not offer cholesterol screenings or blood pressure checks at health fairs.

Community Event Request
Contact Person Information

Sponsoring Organization Information

Date must be in the future.

Date must be in the future.

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