Material Order Form


Picture

Thank you for ordering materials from Get Smart Colorado! 
Please enter the quantity of each item you would like to order and your shipping information. 
Then click the submit button.  Your educational materials should arrive in 1-3 weeks.


English Materials:


Please enter the quantity of each item you would like to order.


Waiting Room Posters (18 x 24) (limit 3)







Exam Room Posters (8.5 x 14) (limit number of exam rooms)





Information Cards (4 x 6) (limit 50)




Brochures (limit 15)





Note: For quantities greater than 15 contact the Public Health Foundation: 1-877-252-1200 or go to www.cdc.gov/drugresistance/community/orderform.htm



Viral Prescription Pads

CDC viral prescription pads (4 x 6) Limit 10



Over-the-Counter Medication and Self-Care Guides

 (wallet-sized)  Limit 50

 (5.5 x 8.5)  Limit 50

Click here to download the Winter Health Care Guide.



Spanish Materials:


Please enter the quantity of each item you would like to order.


Waiting Room Posters (18 x 24) (limit 3)




Exam Room Posters (8.5 x 14) (limit number of exam rooms)





Information Cards (4 x 6) (limit 50)




Brochures (limit 15)




Note: For quantities greater than 15 contact the Public Health Foundation: 1-877-252-1200 or go to www.cdc.gov/drugresistance/community/orderform.htm



Over-the-Counter Medication and Self-Care Guides


 (5.5x8.5) Limit 50



Address:














Please review your order carefully.  When complete, please click 'Submit.'  Thank you for your order!


* Indicates Response Required