Swope Health

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Patient Portal

Community
support request

We make every attempt to support community needs, but we typically need two months’
notice to assure medical personnel scheduling and supplies. For COVID-19 vaccination
events, 3 weeks’ notice is needed.  Thank you for your understanding!

Community Support Request

DD slash MM slash YYYY
*At its sole discretion, Swope Health reserves the right to restrict the use of our space for any event not in keeping with our mission or terminate Organization’s use of our space immediately .
DD slash MM slash YYYY
Time of Event(Required)
:
*All spaces have occupancy guidelines which must be strictly adhered to.
Is this a first time event?
What specifically are you requesting?
How has the event been advertised?
Are you providing the booth, furniture and supporting materials?
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