LA County Department of Public Health

Welcome to the Office of Health Assessment & Epidemiology mailing list subscription page!

Please complete the following form so that you can receive our publications.

Questions? Having problems with this form? Address Changes? Call (213) 240-7785.

I would like to receive the following publication(s):

Key Indicators of Health by SPA (Biannual)

LA Health Brief (~ 10 issues /year) Are you currently receiving "LA health"? Yes No

Mortality in Los Angeles County - Leading causes of death/premature death (Annual)

Cities and Communities Health Report (~ Annual)

Prefix:

* First Name:

* Last Name:

Job Title:

AND/OR

* Organization:

Our office values your privacy. The information you provide us will only be used by our office to send our publications and maintain your address information.

* Organization Type:

If not listed please specify:

* Address1:

(no Punctuation) Apt./Room#:

Address2:

* City:

* State: * Zip Code:

This address receives mail through LA County messenger mail

If so, specify department

If not listed please specify

Phone:

(555-555-5555) Ext.:

Email:

To ensure the security of our database, we ask that you type your code (displayed below) in the text box. This code is an image that cannot be read by a machine. It prevents automated programs from requesting access to our information.

*Code:	What's this? \| (Refresh)
	IYIJQ

Epidemiology Unit | Health Assessment Unit | Data Collection & Analysis Unit