Preventive Care Patient Brochure Request Form
Team Up to Stay Healthy is a short information piece to help your patients understand the importance to receive preventive services and how to clarify when cost-sharing is waived.
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First Name
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Last Name
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Address
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Address Line 2
City
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State
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ZIP Code
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E-mail
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Brochures are available in English and Spanish, in bundles of 50. Please indicate how many bundles of 50 you would like for your office.
English
Spanish
