Contact Community Outreach

Request for Screening Services at a Community Event

The Community Outreach program connects our community with free health screenings and services. Please complete this form if you like to request a screening for your event.

Please remember:

  • Presentations should be open to the community at large.
  • Presentations for businesses should be requested through Workplace Wellness.
  • Applications must be submitted at least 30 days prior to the event.
  • Augusta Health will attempt to accommodate all requests based on availability of resources.

Application

Fields marked with a * are required.

Contact Information
Event Details
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