Educational Materials Request Form | Arizona Poison and Drug Information Center

Please fill out the form below to order educational materials.

We do not provide materials to Maricopa County. If you are requesting materials from within Maricopa County, please contact the Banner Poison and Drug Information Center.

Name *

County *

If you are requesting from Maricopa County, please contact the Banner Poison and Drug Information Center.

Address

Street 1 *

Street 2

City *

State *

Zip *

Organization Name

Email Address *

Phone

Materials

To order the following refrigerator magnets or telephone labels in bulk, please indicate the quantity of each item. NOTE: You may order up to 50 each for no cost. If you have a need for more, please contact the Community Outreach Coordinators.

1-800-222-1222 Magnets

1-800-222-1222 Telephone Stickers (English)

1-800-222-1222 Telephone Stickers (Spanish)

Rattlesnake Bite Pocket Card (English)

Rattlesnake Bite Pocket Card (Spanish)

Complimentary Safety Packet

Complimentary safety packets are intended for personal home use and include two stickers, two magnets, and one of each brochure. Limited to one per household.

Yes, I would like a safety packet.

Brochures

To order bulk brochures, please choose your brochure below and indicate the amount needed. NOTE: There is a limit of 50 brochures each. If you have a need for more, please contact the Community Outreach Coordinators.

Bites and Stings Safety and First Aid

Poisonous Plants Safety and First Aid

Household Poisons Safety and First Aid

Leave this field blank

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.