Educational Materials

Ordering Educational Materials

The materials on this form are available free of charge from the Minnesota Antibiotic Resistance Collaborative to clinics, pharmacies, and child care providers in Minnesota.

Shipping Information

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Contact Person*
Facility Type*	choose one Clinic Long Term Care Pharmacy Child Care
Facility Name
Address*
City*
State*
Zip*
Phone*
e-mail

Items Requested

	Clinics	Long Term Care	Pharmacies	Childcare Providers
	SAMM poster: (Max. 5)	SAMM poster: (Max. 5)	SAMM poster: (Max. 5)	SAMM poster: (Max. 5)
	SAMM button: (Max. 5)		SAMM button: (Max. 5)
	SAMM sticker: (Max. 50)			SAMM sticker: (Max. 20)
	IQ test: (Max. 10)	IQ test: (Max. 10)	IQ test: (Max. 10)	IQ test: (Max. 10)
	Handwashing Poster: (Max. 10)	Handwashing Poster: (Max. 10)
	Virus vs Bacteria Poster: (Max. 10)	Virus vs Bacteria Poster: (Max. 10)
	Initiation of Antibiotics in LTC Card: (Max. 1)	Initiation of Antibiotics in LTC Card: (Max. 1)
	Child's Viral Infection Prescription Pad: (Max. 10)
	Adult Viral Infection Prescription Pad: (Max. 10)
	Childcare Viral Illness Excuse Prescription Pad: (Max. 10)
	Ear Pain Prescription Pad: (Max. 10)
	Staph Prescription Pad: English: (Max. 5) Spanish: (Max. 1) Somali: (Max. 1) Hmong: (Max. 1)
				Coloring Book: (Max. 10)
				Self Study Childcare Provider Curriculum: (Max. 20)

Any Comments or Questions?