Request the Central Outreach Team at Your Event

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Your events can play a crucial role in helping us achieve our goals and make a significant impact in the community. By coordinating with Central Outreach Wellness Center, you will not only gain visibility and recognition among our diverse audience but also contribute to our community outreach efforts.

Email *

Event Name *

Event Time *

Event Date *

YYYY

Event Location *

Event Description *

Available Parking for 35-foot Van *

Yes

Crowd Expectancy *

How Did You Hear About Us? *

Services Requested *

Hep C

Full STI screening

PrEP Starts

Public Speaking/Education

Other:

Required

Phone Contact Information

Submit

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This form was created inside of Central Outreach Wellness Center.