Community Health Outreach Program

Instructions:
Please complete the form below to request services from the Florida Department of Health in Miami-Dade County (DOH-Miami-Dade). We recommend that you complete this form 30 to 60 days prior to an event.

DOH-Miami-Dade has a variety of individual programs and services available. Each program is responsible for confirming their own availability and services. If a program is available to attend your event, they will reach out to you directly. If no response is received, the selected program(s) may be unavailable to attend.










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    Target Audience


    General PublicCollege & UniversitySenior GroupsK-12 StudentsHealth ProfessionalsFaith-basedFamilyCorporate SettingOther


    EnglishSpanishCreoleOther


    0-1819-2425-3536-5051-6970+



    Requested Services


    Miami Dade County Health Department OnlyHealth Dept and Consortium for a Healthier Miami Dade


    ArthritisAsthmaBlood PressureBreast Cancer InfoBreastfeeding/WICCervical CancerCholesterolDentalDiabetes EducationDomestic ViolenceEnvironmental HealthFamily Planning InfoGlucose TestingHealthy StartHepatitis EducationHepatitis TestingHIV EducationHIV TestingKidCare InfoNutritionProstate CancerSafer Sex MaterialsSexual AssaultSTD EducationSTD TestingSickle CellTB EducationTobacco Cessation


    CondomsSafer Sex MaterialsNeither


    Site Accommodations for Health Providers (Vendors):
    IndoorOutdoorRain ShelterBathroomsPrivate Area for Confidential ScreeningElectricityAV EquipmentRefrigeration (for Vaccines, Test Supplies)






    Other Information:














    DISCLAIMER:

    DISCLAIMER:
    The Florida Department of Health in Miami-Dade County and the Consortium for a Healthier Miami-Dade are NOT endorsing any activity by disseminating this form. The purpose of this form is only to disseminate information about community health fairs and provide a forum for collaboration and partnerships between interested organizations. It is NOT the responsibility of the Consortium to coordinate or determine if there is any sponsorship exclusivity related to each community health fair. Any questions regarding the event must be directed solely to the event planner.

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