Event Information

The Pennsylvania Department of Health (DOH) is in receipt of your request for a representative of the Department to participate in your conference/meeting. Please note that speaking requests are processed on a weekly basis, so please provide the requested information within 48 hours of receiving this form.
Required fields are marked with an asterisk.(*)

Organization’s Point of Contact (POC)

Speech Topic/Stage Set Up

Stage Set Up

Media Information

Executive Order 2023-04 – Executive Branch Employee Gift Ban

Prohibits Executive Branch employees from soliciting or accepting cash or cash equivalent; a gift or other item of more than nominal or de minimis value; admission to a recreational event; a personal loan; or a personal or professional service in connection with their employment.
Read more about the updated gift ban