DCPH Engagement Request Form

Please complete the below to request a presentation, attendance at a health fair, or collaborate with DCPH on an event.

 
 
 
 

Please include as much information about event time as available. This may include start time, stop time, and set-up.

 
 

Please enter numeric zip code where presentation/health fair/event will take place.

 
 
 
 
 
 
 

Please include all details that you believe would be helpful for our team to know about your event or request.