Order Materials/Publications for Healthcare Providers

Type of Material Title English Qty Spanish Qty
Brochures Fish is Good: Mercury is Bad

 

Fish is Good: Mercury is Bad
Brochures WIC Outreach Brochure for Kids (WIC: 46B, Portuguese is available please call)
Brochures WIC Outreach Brochure for Pregnant & Breastfeeding Women (WIC: 46A, Portuguese is available please call)
Directories Tobacco Cessation Treatment Services

 

Tobacco Cessation Treatment Services
Factsheets What does a safe sleep environment look like?

 

What does a safe sleep environment look like? (Spanish)
Forms, Authorization Medical Necessity Breast Pump Prescription

 

Medical Necessity Breast Pump Prescription (WIC: 23BP)
Forms, Exemption Daycare, preschool, school, and college - Medical Exemption Certificate

 

Daycare, preschool, school, and college - Medical Exemption Certificate
Forms, Exemption Daycare, preschool, school, and college - Religious Exemption Certificate

 

Daycare, preschool, school, and college - Religious Exemption Certificate
Forms, Exemption Daycare, preschool, school, and college - Temporary Exemption Certificate

 

Daycare, preschool, school, and college - Temporary Exemption Certificate
Forms, Exemption Healthcare facilities - Medical Exemption Certificate

 

Healthcare facilities - Medical Exemption Certificate
Forms, Medical Immunization Exemption Log Sheet
Forms, Medical Medical Documentation for WIC Formula & Foods - Children

 

Medical Documentation for WIC Formula & Foods - Children (WIC: 23C)
Forms, Medical Medical Documentation for WIC Formula & Foods - Infants

 

Medical Documentation for WIC Formula & Foods - Infants (WIC: 23A)
Forms, Medical Medical Documentation for WIC Formula & Foods - Women

 

Medical Documentation for WIC Formula & Foods - Women (WIC: 23B)
Forms, Medical Medical Information Form for Breastfeeding/Postpartum Women

 

Medical Information Form for Breastfeeding/Postpartum Women (WIC: 2)
Forms, Medical Medical Information Form for Infants/Children

 

Medical Information Form for Infants/Children (WIC: 2B)
Forms, Medical Medical Information Form for Pregnant Women

 

Medical Information Form for Pregnant Women (WIC: 2A)
Forms, Referral Family Visiting Referral

 

Family Visiting Referral (tearpad of 50)
Guides Charity Care - Health Care Providers Guide to RI Regulations

 

Charity Care - Health Care Providers Guide to RI Regulations
Temporarily Unavailable
Plans, Strategic Preconception Health

 

Preconception Health
Posters Addiction is a Disease. Recovery is Possible (Spanish) - Janet

 

Addiction is a Disease. Recovery is Possible (Spanish) - Janet
Posters Addiction is a Disease. Recovery is Possible - Elise

 

Addiction is a Disease. Recovery is Possible - Elise
Temporarily Unavailable
Posters Addiction is a Disease. Recovery is Possible - Jonathan

 

Addiction is a Disease. Recovery is Possible - Jonathan
Posters Flu vaccination - asthma and diabetes view

 

Flu vaccination - asthma and diabetes view
Posters Flu vaccination - children view

 

Flu vaccination - children view
Posters Flu vaccination - pregnant women

 

Flu vaccination - pregnant women
Posters Flu vaccination - senior citizens

 

Flu vaccination - senior citizens
Posters Flu vaccination - young adults

 

Flu vaccination - young adults
Posters It Is Illegal to Smoke in this Establishment

 

It Is Illegal to Smoke in this Establishment
Posters One Year After You Quit Smoking your Risk of Heart Disease is Cut in Half

 

One Year After You Quit Smoking your Risk of Heart Disease is Cut in Half
Posters Protect Her Baby Against Pertussis

 

Protect Her Baby Against Pertussis (Spanish)
Temporarily Unavailable
Promotional Material, Magnet Quit Now RI
Promotional Material, Wallet Cards Flu vaccination reminder card - I wonder who got their flu shot

 

Flu vaccination reminder card - I wonder who got their flu shot (Spanish)
Records, Medical Adult Vaccination Record (For patient chart)
Records, Medical Health and Safety Record Books (Order in increments of 25)
Records, Medical Hospital Vaccine Administration Record ( 4 part form)
Records, Medical Patient Vaccine Administration Records (yellow chart)
VIS Chickenpox Vaccine (Varicella)
VIS Diphtheria, Tetanus, & Pertussis Vaccine
VIS Haemophilus Influenza Type B (Hib)
VIS Hepatitis A Vaccine
VIS Hepatitis B Vaccine
VIS Human Papilloma Virus Vaccine (HPV 9)
VIS Influenza Vaccine, Inactivated (Injectable)
VIS Measles, Mumps & Rubella Vaccine
VIS Measles, Mumps, Rubella, and Varicella Vaccine
VIS Meningococcal Vaccine
VIS Pneumococcal Conjugate Vaccine (PCV)
VIS Pneumococcal Polysaccharide Vaccine (PPSV)
VIS Polio Vaccine
VIS Rotavirus Vaccine
VIS Serogroup B Meningococcal (MenB)
VIS Td Vaccine (Tetanus and Diphtheria)
VIS Tdap (Tetanus, Diphtheria, Pertussis)
VIS Your Babys First Vaccines - Multi-Vaccine Information Statement
Your contact information

Perferred method of distribution: