Request UVA Participation at an Event

We work with local organizations on community events and health fairs as part of our commitment to partner to improve community health and well-being. Our focus is on participation within the greater Charlottesville area (Charlottesville city, Albemarle, Fluvanna, Greene, Louisa and Nelson counties). 

To request UVA Health participation at your organization’s event, please complete this form. For more information, please email the Community Partnerships team or call us at 434.924.2946.

Guidelines for Requesting UVA Participation at Your Event

  • This form must be completed for all community events.
  • Requests must be made at least four (4) weeks before the event.
  • UVA Health participation is based on staff/volunteer availability. UVA attendance is not guaranteed.
  • Please allow up to five (5) business days for a response. When a decision has been made, a UVA representative will contact you to settle the details. 

Community Event and Health Fair Request Form

What type of event are you interested in?

Tell us about the event and the type of health screening and health education you would like us to provide:
Requester Information
Event Information
Provide a brief description of the event and goals.
Event location address:
Please include as much information as possible about the target audience for your event.
Will there be other vendors at the event?
Tell us about your event. Will you have breakout presentations? What other vendors will be there? Will you include entertainment? Do you use a passport system? Please provide us with the details of your plan.
Is this event indoors or outdoors? (Check one)
Items provided at event:
You can check more than one item. You can also choose "other" and fill in the information.
UVA Health departments or health education services requested:
You can choose more than one option. Choose "Other" if you do not see the option you are looking for in this list.
Health screenings requested:
You can choose more than one option. Choose "Other" if you do not see the option you are looking for in this list.
Do you already have a strategy to provide follow ups or referrals to people that are found to be in need of medical care?
Do you have an exit survey to record the needs, experiences and opinions of the attendees about this event and future events?
Have you worked with a specific person at UVA for this event in the past, or is there a specific person at UVA you would like to work with?
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