Use this form to schedule a FREE screening of the
Unnatural Causes documentary for your small group.
Health Partners and the Asheville Buncombe Institute for Parity Achievement (ABIPA) have a limited number
of copies available for free check out in Buncombe County.  

To show a piece of this film, you will need:
+ a TV or projector and a DVD player. The DVD does not play well through a laptop computer.
+ an existing group or organization you are part of that you can show the film to.
+ a minimum of 45 minutes to one hour, depending on the episode you pick to show.
+ a facilitator (you can request a facilitator from our organization or serve as your own facilitator using pieces
       of our tool kit.)
+ to request a film screening at least two weeks in advance.  Copies of the documentary will be available on
       a first come, first serve basis.
+ to pick up your reserved film copy within 24 hours before your film screening and return it to Health
       Partners within 24 hours after your event.
Film Screening Request Form
Your name:
Name of group:
Type of group:
Average attendance:
Episode you'd like to show:
(read Episode Descriptions
for more information)

If you have a group that
meets often, you may want
to show more than one
episode over a number of
meetings
.
I'd like a recommendation of which episode might be
best for my group.
In Sickness and In Wealth
(56 minutes, opening episode)
When the Bough Breaks (30 minutes)
Becoming American (30 minutes)
Bad Sugar (30 minutes)
Place Matters (30 minutes)
More Than a Paycheck (30 minutes)
Please list two possible dates for your
group to see this film.
Be aware that
reservation schedule will depend on
availability.
Or
Would you like your reservation confirmed by phone or e-mail?
By e-mail                  Your e-mail address:
By phone                  Your phone number: