Email

Type of Inquiry*

General Inquiries Should Use the Call/Chat/Email Options Below

Chat

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*

End Date Range*

Patient Species (check all that apply)*

Human
Animal

Age Range*

Station/Organization*

Topic*

Organization Name*

Organization Address*

Street Address Address Line 2 City State ZIP Code

Date of the Presentation*

Date of the Health Fair*

Start Time of the Presentation*

:

Start Time of the Health Fair*

:

End Time of the Presentation*

:

End Time of the Health Fair*

:

Location of the Presentation*

Same as previous

Street Address Address Line 2 City State ZIP Code

Location of the Health Fair*

Same as previous

Street Address Address Line 2 City 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*

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.*

Email

This field is for validation purposes and should be left unchanged.

Poison Control Helpline: 1-800-222-1222

Contact Form

Connect With Us

Get In Touch