Behavioral Health System Baltimore (BHSB) Community Engagement Request
If you are interested in having BHSB's Community Engagement team attend your event to share resources related to mental health, substance use and the 988 Helpline, please fill out the form below.

Someone from our Community Engagement team will be in touch in 2-3 business days to let you know if we are able to accommodate your request. 
Organization Name *
Name of the Event *
Address for the Event *
Event Date *
MM
/
DD
/
YYYY
Event Start Time *
Time
:
Event End Time *
Time
:
Event Description
Who is your intended audience for this event? *
How many people do you expect to attend the event? *
Besides our outreach materials, do we need to bring any of the items below? 
Contact Name *
Phone number *
Email address *
Comments
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms