Event Request - Paterson Community Health

Paterson Community Health is committed to partnering with local organizations, schools, and community groups by taking part in health fairs, outreach initiatives, and community events. If you would like to host our Mobile Health Unit or have our team attend your event to provide information and resources, we encourage you to submit a request.

Event Request Form

To get started, please complete the Event Request Form below. A member of our team will review your request and follow up. While we strive to participate whenever possible, scheduling and alignment with our mission will determine availability.

Submission Guidelines

Please submit all requests at least 30 days in advance to allow for proper planning and coordination.

Event Request Form

Name of Event(Required)

Today's Date(Required)

Proposed Date of Event(Required)

Event Set-Up Time(Required)

Time of Event(Required)

End Time of Event(Required)

Is the Event Indoors or Outdoors?(Required)

Indoors

Outdoors

Will Tables and Chairs Be Provided?(Required)

Yes

Address of Event(Required)

Street Address City State / Province / Region ZIP / Postal Code

Name of your Organization(Required)

Name(Required)

First Last

Phone(Required)

Email(Required)

Type of Request

Mobile Health Unit

General Community Engagement/Event Participation

Other

Additional Details or Questions

Please include a brief description of the event, including its purpose, target audience, and any additional support or services you’re requesting from HJAHC.