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Community Event Request Form

Florida Department of Health in Volusia County Community Health

To request DOH-Volusia participation in a health fair/community event, please complete this form.

Submission of this form does not guarantee DOH-Volusia participation in your upcoming event.

Participation is based on staff availability and focus areas of our programs.

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.

 


(Please include name of building)

(Please select all that apply)