Get Health Fair Screening Form

Completing the Health Fair Screening Form online is a straightforward process that helps ensure your participation in the upcoming event. This guide provides clear and detailed instructions to assist you in filling out each section effectively.

Follow the steps to fill out the Health Fair Screening Form online

1. Click ‘Get Form’ button to access the Health Fair Screening Form and open it for editing.
2. Enter your agency, organization, or individual name in the designated field to identify your entity.
3. Provide the name of your contact person. This will be the individual responsible for communications regarding the event.
4. Fill in the title of the contact person to clarify their role within the organization.
5. Input a valid phone number where the contact person can be reached for any inquiries.
6. If applicable, enter a fax number for document transmissions related to the event.
7. Include an email address for electronic correspondence and updates regarding the Health Fair.
8. Provide the complete mailing address, including city, state, and zip code, to ensure accurate contact information.
9. Describe your agency or organization, specifically the services you provide, in the section intended for agency descriptions.
10. Indicate your mode of participation by checking all applicable boxes, including options such as distributing literature, offering free screenings, or providing outreach.
11. Review all filled-in information to ensure accuracy and completeness.
12. Once satisfied with the form, save your changes, download a copy for your records, or print it for submission.
13. Share the completed form via email with Denise Estrada at destrada@villagesouth.com or fax it to (305) 571-9865 by the specified deadline.

Complete your Health Fair Screening Form online today to ensure your participation!