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Media Request Form

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Please fill out all fields below for media requests for the Frederick County Health Department. Please be as specific as possible. Choose the division that best matches the nature of your inquiry when completing this form. After completing all fields, click the "Submit" button. Upon receipt of the completed form, a Frederick County Health Department Public Information Representative from the division you indicate in your selection will contact you directly at the contact numbers specified. Should you have additional questions, submit the Media Request Form first, then contact:

Angela Blair
Community Health Educator
Frederick County Health Department
350 Montevue Lane
Frederick, MD 21702
Tel: 301-600-1861
Fax: 301-600-3689
Email: Angela Blair

Proposed Interview Date & Time: (Please Provide 3)
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