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Health Resource request

We have hard-copy resources that are available for pick-up or mailing.  Please complete this form to request resources.  You will receive an email when your request has been processed.  Please allow 2-3 weeks for mailing or contactless pick-up.

First Name *
Last Name *
Address Line 1 *
City *
State/Province *
Postal Code *
How would you prefer to receive resources?

Please select the number of resources you'd like to receive. If you need more than what is offered, please email Ama Amponsah at

DV Resource Shoe Card (English)
DV Resource Shoe Card (Spanish)
DV-CHW Shoe Card (English)
DV-CHW Shoe Card (Spanish)
DV-CHW Poster (English)
DV-CHW Poster (Spanish)
DV Screening Tips Card
Safety Cards
Key Ring Tag
Health and Safety Posters

Our Member Organizations

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