SAMHSA Speaker Request Form

Thank you for contacting SAMHSA’s External Engagement Team. We appreciate your interest in inviting SAMHSA to participate in your event.

Please submit your name, email address, name of the event, date of the event and requested speaker to engagement@samhsa.hhs.gov.

Form Approved OMB# 0930-0393 Exp. Date 03/31/2026