Community Health Fair Form
If you are requesting our services, please complete and submit the following form. Our organization consists of licensed professional nurses capable of performing blood pressures, cholesterol screenings and body mass index (BMI) and providing health education.
*** In regards to insurance regulations we are unable to assist with other testing at this time. For any of the listed services please complete the form and someone will contact you about your request.
Speakers are available for the following topics: Heart Disease, Stroke, Diabetes , Cancer, Healthy Diet , HIV/AIDS and Lifestyle Changes, and Triple Touch II breast self examination training. Speakers may be arranged for other health topics on an as needed basis.
All requests should be submitted at least one (1) month prior to the date of your health fair or event. Events are accepted based the availability of our nurses.
Complete the form below to submit online or click Community Health Form to download and print a request form.
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