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Hepatitis Prevention Program
Educational materials Order Form

Hepatitis Logo

Name
Organization
Date
Street Address
City
State
Zip
Work Phone
FAX
E-mail

Affiliation
County Health Department
Private Partner
Community Organization
Meeting/Presentation
Public Partner
Corrections/Jail
Other/ Out of State

Material Requested

Product

Target Groups

Number Desired

Product

Target Groups

Number Desired

Hep A
Mini Poster
Do You Know?

English

MSM

Hep C Mini Poster
Do You Know?

English

ALL

Hep A
Mini Poster
Do You Know?

Spanish

MSM

Hep C Mini Poster
Do You Know?

Spanish

ALL

Hep A
 Mini Poster
Can You Get?

English

ALL

ABC Viral Hepatitis Chart

ALL

Hep A Mini Poster
Can You Get?

Spanish

ALL

Hep A,B, C

Test Results Interpretation Chart

ALL

Hep B
Mini Poster
Do You Know?

English

ALL

Adult Hepatitis Vaccine and Testing Guidelines

Tri-Fold

ALL

Hep B
Mini Poster
Do You Know?

Spanish

ALL

Vibrio Vulnificus and Liver Disease

Fact Sheet

ALL

Additional materials may be ordered from:
Hepatitis C Support Project: www.hcvadvocate.org
Vibrio Vulnificus: http://www.issc.org/education
Hepatitis B Support: http://www.hbvadvocate.org 
Visionary Health Concepts: http://www.freehepatitisinfo.com

.

For assistance, call the Hepatitis Prevention Program at (850)-245-4335