Form Center

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COVID-19

  1. COVID-19 Education Request

    Please complete this form if you or your organization would like a COVID-19 Education presentation for your staff or the community.... More…

  1. COVID-19 Vaccine or Testing Event Request Form

    Please complete this form if you or your organization are interested in partnering with Cabarrus Health Alliance (CHA) to host a... More…

EIM

  1. EIM Physican Nomination
  2. REACH Community Garden Initiative Application

    The Cabarrus Health Alliance is seeking faith-based organizations who have an interest in reviving or starting a community garden. At... More…

  3. REACH School Garden Initiative Application

    The Cabarrus Health Alliance is seeking elementary schools who have an interest in starting, expanding, or revitalizing a school... More…

  1. Nominate Your Neighborhood Store

    The Cabarrus Healthy Corner Stores (CHCS) program aims to increase the accessibility, availability and visibility of healthy items in... More…

  2. REACH Joint Use Agreement Initiative Application

    The Cabarrus Health Alliance is seeking faith-based organizations who are committed to promoting and supporting physical activity in... More…

Environmental Health Forms

  1. CHA Food Safety Advisory Group

    The next meeting for the CHA Food Safety Advisory Group will be April 28, 2022. After completing this form, you will receive an email... More…

General

  1. Community Events Request Form

    Use this form to request CHA's participation in your community event.

SEDI Forms

  1. Sample Form

    This is a test form....

Wellness Forms

  1. 2022 Kids Cooking Camp Registration

    Our camper chefs will be in charge of preparing their very own breakfast and snack each day. For lunch, our camper chefs will learn a... More…

  2. A FREE Diabetes Prevention Program - Clase para la prevención de la diabetes GRATIS
  3. Environmental Health Request for Information

    Septic System Research

  4. Living Healthy with Chronic Disease Registration

    By completing the following form your interest will be noted and you will receive a follow-up phone call or email.

  5. Specialty Class Registration

    If you are interested in having a Specialty Nutrition or Cooking Class, please complete the information below. A staff member will... More…

  6. Virtual Cooking Class Registration

    Classes are $8 per person. Payment must be received at least two days prior to class to confirm registration. Refunds and switching of... More…

  1. 2022 Kids Cooking Camp Scholarship Form
  2. Cabarrus Chef Challenge

    The Cabarrus Chef ’s Challenge provides real life challenges that inform, test and push participants in the most exciting ways.

  3. Family Cooking Class Registration

    Join Chef Corey in a FREE four week cooking series that will assist families with making delicious, easy and affordable healthy meals. More…

  4. Next Level Cooking Class Registration

    Classes are $15 per person. Payment must be received at least two days prior to class to confirm registration. Refunds and... More…

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  6. Worksite Wellness Interest Form

    To learn more about our “Live Well, Work Well” Worksite Wellness program please complete the form below.