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Education
The Texas Poison Center Network is made up of six regional Poison Centers and each one has a full-time education program dedicated to reducing the incidence of unintentional poisonings and to increase awareness of the Poison Center's services.
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The Network provides a 24-hour, 365 days a year, emergency telephone number resource for all Texas citizens. If you need assistance, simply dial 1-800-222-1222 for access to a 24-hour toxicology referral service staffed by specially trained physicians, pharmacists, and nurses.
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North Texas Poison Center Request for Health Fair/Lecture
Please fill out all required fields below.
Requesting Organization
*
Address
*
Street Address
Address Line 2
City
County
ZIP / Postal Code
Contact Person
*
First
Last
Contact Email
*
Phone
*
Day of Event Contact Person
*
First
Last
Day of Event Contact Phone
*
Type of Event
*
Please choose one...
Health Fair
Lecture
Train the Trainer
Career Day
Other
Please specify...
*
Duration of Event
*
Audience
*
Please choose one...
Pre K
Elementary
Middle School
High School
Adults
Seniors
Mixed
Other
Please explain...
*
Event Date
*
MM slash DD slash YYYY
Event Time
*
:
Hours
Minutes
AM
PM
AM/PM
Event Location
Same as Organization Address
Event Address
*
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Estimated Number of Attendees
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Venue Type
*
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Indoor
Outdoor
Classroom
Cafeteria
Other
Please explain...
*
Will table and chairs be provided?
*
Yes
No
Is a laptop and projector available for use at the venue?
*
Yes
No
Spanish materials needed?
*
Yes
No
Estimated amount needed
*
Has the Poison Center done an event for this organization before?
*
Yes
No
How did you hear about us?
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Email
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Special Instruction, Comments and Event Details
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