Fall Prevention and Recovery

Complete this form to request Fall Prevention and Recovery presentation.

Invite Albuquerque Fire Rescue's Community Paramedics to present on fall prevention and how to get up if you have fallen, are alone and uninjured.

Contact Name

Phone Please include area code and dashes (ex: 505-555-5555)

School / Organization

Address you would like the event to take place

First Preferred Time and Date of Presentation Presentations will be scheduled Monday through Friday between 8 a.m. and 4 p.m. Presentations outside of this time period will have an associated cost. Please provide three (3) options.

Second Preferred Time and Date of Presentation

Third Preferred Time and Date of Presentation

Number of Attendees

Age Range of Attendees

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Fall Prevention and Recovery

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