Complete this form to request a Speakers' Bureau presentation or Hands Only CPR Training. Please note presentations are fulfilled on a first-come, first-served basis. Submitting a request does not guarantee a presenter can attend your event. However, submitting three weeks or more in advance will improve our ability to accommodate your needs. You will receive an e-mail or phone call accepting or declining your invitation within 7-10 business days of submitting this request. You will also receive a confirmation number for request tracking purposes.

*Note: Virtual COVID-19 presentations can be scheduled 2 weeks in advance. Requestors, please select the earliest date available and then in the notes section indicate preferred date.

IMPORTANT: All Speakers’ Bureau presentations have been prepared for general community audiences unless otherwise noted on the Speaker's Bureau webpage. If you require a presentation that’s intended for health professionals and other clinical audiences, please make a note of this in the comments section of the request form and provide specific information about the audience type you’d like us to serve through the presentation. Once again, submitting a request does not guarantee a presenter can attend your event.

If you are experiencing technical issues using this form, please download the PDF version of the request form and submit it by email to speakersbureau@ph.lacounty.gov. Thank you!

Event Information
8. * What topic would you like us to present at your event?     Asthma Cardiovascular Disease Cholesterol Climate Change Conjunctivitis COVID-19 COVID-19 Therapeutics Diabetes Emergency Preparedness Falls Prevention Fentanyl and Responding to Overdose Hand Foot and Mouth Disease (HFMD) Hands Only CPR Training High Blood Pressure HIV/AIDs Measles Meningococcal Disease (Meningitis) Mpox Nutrition Oral Health Pertussis PH 101 Respiratory Syncytial Virus Infection (RSV) Seasonal Flu Silicosis Sexually Transmitted Diseases (STDs) Tuberculosis Vaping/E-cigarettes (in development; we will contact you when the presentation is ready) West Nile Virus Zika Virus Disease
9. What kind of event would you like us to attend? Note: Please indicate if this is a request for a lecture or a health fair.	Conference Community Meeting Health Fair Professional Meeting Virtual Event Other:
10. * What date are you proposing?    (Event date no sooner than 3 weeks or 3 months after today)
Note: We need to know about the event at least 3 or 4 weeks in advance to try to accommodate this request. Due to an increased demand for outreach events during flu season (October-March), may ask to reschedule your event.
11. * What times are you proposing?	(start time between 8:00A.M - 4:00P.M Only)
12. How much time would we have to present? (If less than 1 hour, please indicate time in Comments section)	Less than 1 hour 1 hour 1.5 hours 2 hours
13. * How many people do you expect will attend your event?
Note: Events with less than 20 participants cannot be accommodated.