The Speakers Bureau program provides our community and nonprofit organizations with free access to local health care experts who can offer valuable insights on topics related to our community’s greatest health needs.

Please complete this form if you would like to request a presentation for your group or organization.

Please remember:

  • 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 our speakers.

"*" indicates required fields

Topic

Your Contact Information

Name
Address

Event Details

Address
Provide an address for the speaking engagement
MM slash DD slash YYYY
Start Time
:
Describe your anticipated population served, such as age, interests, etc.
Please share how the event will be promoted and how Augusta Health will be recognized.
Equipment
Indicate which audio/visual equipment will be available at the location.
This field is for validation purposes and should be left unchanged.