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Assistance Request Form

How Can We Help You?

Please use this form to join our Listserv or to request assistance.  Among other services, we can help you:

  • Become aware of community health events and activities (join our listserv)
  • Partner with University of Rochester Medical Center (URMC) faculty/staff for research or project purposes
  • Partner with a community-based organization
  • Find speakers on health-related topics
  • Secure population health and other data
  • Learn more about community health initiatives
  • Make contacts within the university for volunteer support

Please complete the form below with your contact information and specific request.  We will then follow up with you by e-mail or by telephone with information to meet your needs.

Your Contact Information



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Details About Your Request

How can we help?:








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