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Formal Speaking Engagement Request

Thank you for requesting a Summa Health speaker for your event. Before submitting your request, review the general guidelines and be sure to complete the entire request form. 
  
 
General Guidelines
  • Location: is your event taking place at a location within a community we serve in one of the following counties: Medina, Portage, Stark, Summit or Wayne?
  • Advanced Notice: is the event you are requesting support for a minimum of 6 – 8 weeks away from today’s date?
  • Summa Health prioritizes collaborations with community groups, clubs and organizations that support and address the social drivers of health, as identified in our Community Health Needs Assessment (CHNA) and Community Health Improvement Plan (CHIP).
Please complete the form below. Questions marked with an asterisk (*) are required. 
Requested Topic (choose one)
Number of Expected Event Attendees (choose one)
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Options to Request an Appointment

If your situation is an emergency, call 911.