FY23 Howard County Health Department Community Health Education Request Form
Thank you for your interest in inviting the Howard County Health Department (HCHD) to participate in your upcoming virtual or in-person event. We are committed to helping educate the community we serve.

Please complete this event request form at least one month prior to the event. Our ability to honor your request is based on staffing and alignment with HCHD mission and vision.

Note: We are unable to pay fees to participate in an event. All fees must be waived for HCHD staff to participate.

If you have any questions or cannot fill out the online form, contact us at askhealth@howardcountymd.gov.
Sign in to Google to save your progress. Learn more
Email *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy