Detroit Health Department Community Event Participation Request Form

If you wish for the Health Department outreach team to participate in your event please complete the form below in its entirety. Please allow five business days for processing and consideration. Note that all participation requests require at least 30-days prior notice of event to assess staff and resource availability. Thank you!

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Target audience & anticipated number of each: (Check all that apply)

How is this event being advertised?

(Check all that apply)

What/which Detroit Health Department services and/or programs are you requesting information about?

(Check all that apply)

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