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Health fair request

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Novant Health participates in local health fairs as part of our commitment to the community to educate the public on health-related topics. Novant Health offers free materials on various health-related topics, as well as demonstrations, assessments and screenings.

To request that Novant Health attend your organization's health fair, please click on the link below to fill out the health fair request form. After reviewing our selection of health fair topics, please select the options that most interest your organization. Once you have submitted your online health fair request form, you will be contacted by a Community Relations representative to coordinate the logistics of your health fair. If you are a corporation interested in on-site health programming, please contact the Novant Health Corporate Health team at 866-634-9425 or via email at corporatehealth@novanthealth.org.

A minimum of 75 attendees is required for Novant Health to participate in any community health fair. All requests must be submitted at least 30 days prior to event.

Application
*Please select Novant Health Facility from which you are requesting support:
*Name of Requesting Organization:
*Tax ID Number:
*Contact First Name:
*Contact Last Name:
*Contact Phone:

*Contact Email:
*Organization Street Address:
*City:
*State:
 Zip:
Organization Website:
*Board Members:
Event Name:

*Event Date (must be a minimum of 12 weeks from date of submission):
*Location of Event:
Start Time:
End Time:  
Is this a first year event?
Number of years event has been in operation:
*Expected Attendance (number of attendees/participants):
*Requested services:

*Screening interests:









If Cancer, please specify:
*Education interests:






Additional information we should consider in evaluating this request: