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Thank you for requesting that the Georgia Poison Center (GPC) help educate your community about poison prevention and safety. While we will make every attempt to attend your health fair, please keep in mind that we have a limited staff for outreach and cannot attend all requests we are invited to. Please complete the below fields to help us better understand your needs. We will contact you as soon as possible.
We highly encourage you to complete our FREE online poison prevention training program. Once you complete the training you can request free material for your event and any events thereafter.
FREE Online Poison Prevention Training
Thank you for requesting that the Georgia Poison Center (GPC) help educate your community about poison prevention and safety. While we will make every attempt to attend your presentation, please keep in mind that we have a limited staff for outreach and cannot attend all requests we are invited to. Please complete the below fields to help us better understand your presentation needs. We will contact you as soon as possible.
Please complete the below fields to help us better understand your data request needs. We will contact you as soon as possible.
Thank you for your media request. Please complete the below fields to help us better understand your media request. We will contact you as soon as possible.
Name
*
First
Last
Email
*
Phone Number
*
Start Date Range
*
MM slash DD slash YYYY
End Date Range
*
MM slash DD slash YYYY
Patient Species (check all that apply)
*
Human
Animal
Age Range
*
<=5 years
6-12 years
13-19 years
>=20 years
All ages
Station/Organization
*
Topic
*
Organization Name
*
Organization Address
*
Street Address
Address Line 2
City
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Date of the Presentation
*
MM slash DD slash YYYY
Date of the Health Fair
*
MM slash DD slash YYYY
Start Time of the Presentation
*
:
Hours
Minutes
AM
PM
AM/PM
Start Time of the Health Fair
*
:
Hours
Minutes
AM
PM
AM/PM
End Time of the Presentation
*
:
Hours
Minutes
AM
PM
AM/PM
End Time of the Health Fair
*
:
Hours
Minutes
AM
PM
AM/PM
Location of the Presentation
*
Same as previous
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Location of the Health Fair
*
Same as previous
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Estimated Number of Attendees at the Presentation
*
Estimated Number of Attendees at the Health Fair
*
Audience for the Presentation
*
General Public
Healthcare Professionals
Age Group for the Presentation
*
Preschool/Elementary
Middle/High School
Adults
Seniors
Mixed
Do you have equipment for a PowerPoint Presentation?
*
Yes
No
Do you have internet that we can connect to for the presentation?
*
Yes
No
Briefly describe your request.
*
Comments
This field is for validation purposes and should be left unchanged.
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ABOUT
Mission & History
Services
Frequently Asked Questions
Privacy
POISONS
Poison Hazards
First Aid
Hundreds of Stories a Day
Alerts – Recent Trends
EDUCATION
Educational Trainings
Educator Toolkit
GPC Blog
National Poison Prevention Week
Videos
DATA
Annual Reports
Interactive Dashboard
Monthly Statistics
MATERIALS
View Products
Cart
CONTACT
Contact Us
Career Opportunities
Caller Satisfaction Survey
Share Your Story