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/Community Outreach Request
Community Outreach Request2021-10-21T10:14:14-07:00

Community Outreach Request

Thank you for contacting the Southern Nevada Health District to request our participation at your community event. Our immunization outreach team, Linkage to Action program, Southern Nevada Community Health Center providers and Chronic Disease Prevention and Health Promotion program appreciate opportunities to expand access to public health and health care services throughout the community.

Please complete the form below with as much information as possible and submit TWO WEEKS in advance of your desired event date. Your request will be forwarded automatically to all departments that are appropriate for fulfilling your request. One or more members of our team will respond within 3 business days to coordinate.

We strive to fulfill all requests but prioritize based on community needs, resources and staff availability. Completion of this form does not guarantee our participation. Thank you for your understanding.

Please tell us about your event

MM slash DD slash YYYY
Event start time(Required)
:
Event end time(Required)
:
Event address(Required)

Which services and resources would you like to have at your event?

Vaccinations
Health education
Screening and testing
Medical services

Optional additional information

Updated on: October 21, 2021