Request Information

If you are experiencing a medical emergency, please call 9-1-1. We cannot assist with emergency requests through this form. Please fill out the following form to contact us about Halifax Health services. In the Comments area, be sure to tell us what information you need so that we can direct your request to the proper department for the fastest response. Please be advised, however, that if you have questions or concerns regarding your health, you should contact your healthcare provider directly.
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		I would like to: Receive a copy of your HealthMatters eMagazine
Comments

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact us by phone or in writing.