Promotional Materials - Professional Education/Materials

Private Provider Materials Ordering
Public Health Department Provider Materials Ordering

PUBLIC HEALTH DEPARTMENT RESOURCE ORDER FORM
Name: Organization: Address: City:	Date: Phone: Fax: State: Zip:

Please order the number of packages needed:		English	Spanish
Record Cards	Adult Record Card (50)
	Pink USIR (250)
	Yellow Personal Record (50)
Schedule Cards	Adolescent (100)
	Adult (100)
	Childhood (100)
	Childhood 8.5" x 11" (50)
Other Materials	International Certificate of Vaccination (ICV)
	Plastic Sleeves for ICV (100)
	Plastic Sleeves (100)
	"Next Due" Stickers (250 per pad)
	Immunization Guide Book (Redbook) 2007	Out of Stock
	School Rule Guide Book for Providers 2007	Out of Stock
	PPV Stickers (500 per roll)
	Vaccinate Before You Graduate Bookmark
	Got Vaxed Bookmark
Exemption Forms	Personal
Exemption Forms	Religious
Posters	Adult Schedule Poster 11" x 17"
	Got Vaxed Poster Question Mark 14" x 20"
	Got Vaxed Poster Teenagers 14" x 20"
	Get the Flu Vaccine Poster 11" x 17"
	Preteen Doctor Visit 12" x 20" NEW
	Vaccinate Before you Graduate 11" x 17"
VIS	Camera Ready Set
Brochures	A Guide for Health Care Providers
	About Hepatitis A (50)
	About Hepatitis B (50)
	Got Vaxed Adolescent Brochure (100)
	Older Adults Need Shots (100)
	Planning a Trip (100)
	Preteen Doctor Visit (100) NEW
	Protect Yourself Adult (100)
	Questions & Answers (100)
	Vaccinate Before you Graduate (100)
	Get the Flu Vaccine (50)
	Vaccine Safety (50)
Tearpads & Notepads	Got Vaxed Notepad 3" x 3"
	Resources for Immunizations Tearpad (50)
	Vaccine Administration Record Tearpad (50)
	VFC Information Tearpad (50)
Limited Materials	Fever Scans (Limit 100)
Limited Materials	Rocking Horse Magnets (Limit 100)
Contact Lisa Young with any questions (801) 538-9101 or email Include quantities that will be sufficient for a three month period. PLEASE ALLOW 2-3 WEEKS FOR DELIVERY