To request infection prevention and control training or technical assistance, please fill out the form below providing as many details as possible. It is important that you provide your name and preferred contact information so that we can reach out to you if we have any questions about your request. If you have any problems filling out this form please contact us at We will be glad to assist you.

Technical Assistance Request Form
Preferred method of contact:
Please select the area(s) that most closely align with your training or technical assistance need:

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