Department of Health
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Department of Health and Human Services

Community Event Request

Baltimore County Department of Health and Human Services
6401 York Road, Third Floor
Baltimore, Maryland 21212-2130

Phone: 410-887-1HHS (1447)
TTY users call via Maryland Relay

Thank you for your interest in having programs and staff from Baltimore County Department of Health and Human Services participate in your upcoming event. If your event is within the next three to eight weeks, please completely fill out the form below. If your event is later in the year, please return to complete the form closer to the event date.

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

Fields marked with * are required.
Contact Person Information
Sponsoring Organization Information
The Event Will Be Held
Table/Chairs Supplied
Bilingual Outreach Staff
Fee to Participate
If program staff participates in your event, can your contact information be shared with them?
Choose Topic
Adult Foster Care Recruitment (Project Home)
Cancer Programs (breast, cervical, colon)
Domestic Violence
Emergency Preparedness
Family Planning
Financial Services
HIV/AIDS (information)
HIV/AIDS (testing – requires two private rooms)
Medical Assistance Programs
Pregnancy / Early Childhood
Prevention Services (substance abuse, mental health, tobacco)
Professional Recruitment
Reporting Abuse and Neglect
Resource Parenting (Foster Parenting/Adoption Services)
Services for Seniors
Sexually Transmitted Infections
Tobacco Cessation
Women, Infants and Children Program (WIC)

Revised June 19, 2014

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