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Speakers Bureau, Health Fairs and Special Events Request Form

Main Administrative Office

Please complete this form to request a guest speaker, participation in a health fair or special event, including the Health In Motion Mobile Medical Unit.

* These areas are required for your request to be considered.

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead contact these offices by phone or in writing.

Fields marked with an asterisk (*) are required.

Please note: Florida has a very broad public records law. Most written communications to or from state officials regarding state business are public records available to the public and media upon request. Your e-mail communications may therefore be subject to public disclosure.