Live4Life Community Health Fair
As a valued member of our healthcare community, Opelousas General Health System would like to invite you to join us in an effort to promote healthy lifestyles at our 12th annual Live4Life Community Health Fair. The health fair is scheduled for Saturday, January 12, 2019 from 8:00 a.m. - 11:00 a.m. at OGHS South Campus located at 3983 I-49 S. Service Road in Opelousas.

If you are interested in participating, please fill out this form before Friday, December 14, 2018. There is no cost to participate as a vendor, but we ask that you provide either a screening or service for the health fair. Our goal is to provide a variety of screenings with no duplication in services. You will be notified if your selected screening or service is already being provided. Each participating vendor will be provided booth space including a table and two chairs. If you have any questions regarding the health fair, please feel free to contact Carol Duplechain, at 948-5157.

Name of Organization/Physician
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Contact Person
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Contact Phone Number
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Contact email address
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Contact Fax Number
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Please give a brief description of the screening that you will be providing. You will be notified if your selected screening or service is already being provided.
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Would you like to donate a door prize?
If yes, item description
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Number of participants from your organization
Your answer
Will you need electricity for your booth?
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