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CMPD
officeofwellness@cmpd.org
601 E. Trade Street Charlotte, NC 28202
704-432-6057
Employee Wellness Clinical Briefing Request
Current Division
Employee Name
Contact Email
Contact Phone Number
Provide brief description of the situation and context for which you are requesting an Employee Wellness Clinical team member to attend.
Requested Date / Time
Optional Requested Date / Time
Location of Briefing
Address of Location
Room / Specific Location
What specific areas of concern, topics to address or objective that we would need to cover during the briefing:
disregard this
