Speaker Request Form

The New York City Health Department Speaker and Health Fair Request Form
The Health Department will not attend or promote events that require any monetary payments.

2. Health Topic *This question is required.

For the Mosquitoes health topic, you can request support related to:

West Nile Virus Prevention for Older Adults
General Mosquito/Mosquito Bite Prevention

For the Climate and Health health topic, you can request support related to:

Air Quality
Wildfire Smoke
Summer Heat Safety
Winter Cold Safety

For the Injury Prevention health topic, you can request support related to:

Falls Prevention for Older Adults

For the Diabetes health topic, you can request support related to:

Diabetes Prevention and Self-Management

For the Cardiovascular Health health topic, you can request support related to:

Hypertension 101 Workshop
High-Blood Pressure

For the Cancer health topic, you can request support related to:

Prostate Cancer
Colorectal Cancer
Lung Cancer
Breast Cancer
Cervical Cancer

For the Poison Control health topic, you can request support related to:

Community Provider Training
Medicine Safety for Older Adults
Medicine Safety for Parents/Caregivers of Young Children
Medicine Safety and Falls Prevention for Older Adults
Poison Prevention and Medicine Safety
Poison Prevention for Pregnant and New Parents
Prevent Carbon Monoxide Poisoning
Staff Trainings
Summer Safety
Winter Safety

For the Pest Control health topic, you can request support related to:

Neighborhood Rat Reduction
Preventing Rats in Commercial Areas
Preventing Rats in Community Gardens
Rat Academy
Rat Management for Multi-family Homes
Rat Management for Tree Stewards

For the Healthy Homes health topic, you can request support related to:

Falls Prevention for Older Adults
Cleaning Your Home Safely
Mold and Moisture
Healthy Homes Overview
Controlling Pest Safely
Bedbugs
Window Guards
Safe Gardening
Indoor Air Quality in Your Home

For the Lead Poisoning Prevention health topic, you can request support related to:

Lead Poisoning Prevention/Lead Sources
Beyond Lead Paint Hazards
Pregnancy and Lead Poisoning
Cooking Safely for your Family
Work Safe (for workers who work with or around lead)

For the Sexually Transmitted Infections health topic, you can request support related to:

Best Practices for STI Screening
Chlamydia
Epidemiology of STIs in New York City
Expedited Partner Therapy for STIs
Gonorrhea: Epi and Emerging Issues
Mandated 3rd Trimester CS Screening
Mycoplasma genitalium
Neonatal Herpes

Overview of STIs, including HIV
Overview of STIs: Adolescent Health
Preventing Congenital Syphilis
Registry Data Cross-Matches
STI Provider Reporting Guidelines
Syphilis and Congenital Syphilis
Syphilis: Epi, Diagnosis, and Management
2020 CDC STI Treatment Guidelines

Please enter in your contact information below.

3. First Name *This question is required.

4. Last Name *This question is required.

5. Email *This question is required. This question requires a valid email address.

6. Phone Number *This question is required. This question requires a valid number format.

7. Partner Organization/Business Name

8. Title