Community Event Request Form - Maryland Physicians Care

If you are enrolled in Medicaid, you must renew once a year or you will lose your coverage.

Renew Now

Community Event Request Form

Maryland Physicians Care (MPC) supports several community-based health events around the state of Maryland that align with our mission statement, vision, and core values. To help streamline requests, we ask that you please submit community event requests using the form below.

Please submit the below form accurately to be considered.

  • Requestor Information

  • Event Information

  • MM slash DD slash YYYY
  • :
  • MM slash DD slash YYYY
  • Events must use the new MPC logo which will be supplied upon approval of event.
  • This field is for validation purposes and should be left unchanged.

MPC Members: Sign up for Belong.

Belong is a FREE program that rewards MPC members with healthy prizes and valuable coupons!

Sign Up

Attention: Similac Powdered Formula Recall

Click Here to Read More