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Community Outreach Event Request

Thank you for your interest in partnering with the Department of Health and Human Services for your upcoming event. If your event is within the next four 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. If you do not have internet access, call 410-887-8467 for assistance.

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. If requesting a program representative, this person will man a table with information during the event. If requesting materials, selected items will be gathered. Depending on the amount of requested material, you may have to coordinate a pick date and time.

Note: If you are requesting a speaker for an event, do not complete this form. Instead, email the Department of Health and Human Services at

Fields marked with * are required.
Contact Person Information
Sponsoring Organization Information
How will the event be held? (Check all that apply.)
Will tables and chairs be supplied?
Is there a fee to participate?
Fields marked with * are required.
Areas of Interest
Adult Foster Care Recruitment (Project Home)
Behavior Health (Mental health, substance abuse and overdose prevention)
Cancer Programs (Breast, cervical and colon)
Childhood Lead Poisoning and Asthma Program
Children With Special Healthcare Needs
Chronic Disease
Dental Health
Domestic Violence
Emergency Preparedness
Family Planning
Financial Services—Food Stamps
Financial Services—Medical
Financial Services—Cash
Financial Services—Energy
Harm Reduction
Hepatitis C Program
HIV/AIDS/STI Resources
HIV Prevention and PreP
HIV Testing (Requires two private rooms)
Medical Assistance Programs (Healthcare coverage)
Pregnancy and Early Childhood
Reporting Abuse and Neglect—Adult Abuse
Reporting Abuse and Neglect—Child Abuse
Resource Parenting (Foster Parenting and Adoption Services)
Services for Seniors
Use of Tobacco and Tobacco Cessation
Women, Infants and Children Program (WIC)

Contact Us

Department of Health

6401 York Road, Third Floor
Baltimore, Maryland 21212


Monday through Friday
8:30 a.m. to 4:30 p.m.

Request Contact


Health: 410-887-2243

TTY: 711

Acting Director and Health Officer

Della J. Leister, R.N.

Deputy of Finance and Administration

Lawrence Richardson


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