Community Request Form
Please use the form below to request Penn Medicine's participation in community events, such as neighborhood health fairs, speaker forums or school functions. Requests for monetary sponsorship must be submitted separately on organization letterhead (accompanied by event flyer) and faxed or emailed to the Community Outreach Office at the address below. Requests should include organization's non-profit tax identification number.
Fax: (215) 662-3910
Need an appointment? Request one online 24 hours/day, 7 days/week or call 800-789-PENN (7366) to speak to a referral counselor.