So that we can best meet your needs, please fill out this form in its entirety.
Be sure to provide 3 dates/times that are three (3) weeks out from the day that you submit the request. Once you have submitted a request, a staff member from the Colonial Health Center will follow-up with you.
Please complete 1 form per outreach request.
If you have any questions, email CHCOutreach@gwu.edu.