Materials Order Form These materials listed below are for use in healthcare facilities, schools, and more and are free for use in West Virginia. Please complete the form below to request these materials and allow up to two weeks for shipping. Name * First Last * Last Mailing Address * Mailing Address Mailing Address Mailing Address City City State/Province State/Province Zip/Postal Zip/Postal Email * Phone * Materials Adolescent Immunization Postcard, Assorted ( Limit 200 ) These are general adolescent immunization postcards. They contain white space on the back in which labels with specific information about upcoming immunization clinics and school immunization requirements, etc. could be attached and sent home with students and/or patients. Quantity Adolescent Immunization Posters, Assorted ( Limit 25 ) These are general adolescent immunization posters that highlight the importance of adolescent vaccination. Quantity Healthcare Worker Influenza Vaccination Toolkit ( Limit 3 ) This toolkit is designed for use by healthcare facilities to encourage influenza vaccination for healthcare workers. It includes a large thermometer-style poster to illustrate the flu vaccination rate among healthcare workers in the facility, smaller posters with fill-in areas to note upcoming employee vaccination clinics, stickers for those who were vaccinated at the clinic, and tear-off sheets about the importance of influenza vaccination for healthcare employees. Quantity HPV and Oral Cancer Brochure ( Limit 100 ) This brochure is designed for use in dental clinics to educate patients about the relationship between oropharyngeal cancers and human papillomavirus (HPV) and the role of the HPV vaccine in preventing these cancers. Quantity Faces of Vaccine-Preventable Diseases DVD ( Limit 5 ) This DVD includes the stories of five families who have experienced the consequences of diseases that could’ve been prevented by vaccines: Meningitis, Pertussis, Varicella, and Influenza. The DVD can be used in classrooms, clinic waiting rooms, and other locations. The individual videos can be found online here Quantity Vaccination: Protecting your Baby from the Beginning DVD ( Limit 5 ) To educate parents about the importance of vaccination, WIN has developed this DVD and the accompanying provider toolkit with printable patient education materials ( here ), which cover: maternal vaccination, vaccination of close contacts of infants, and early childhood vaccination. The video is approximately 9 minutes in length and features two West Virginia healthcare providers. It is great for use in childbirth and new parent classes, waiting and exam rooms, and other locations. Quantity Adult Immunization Poster: All Adults ( Limit 25 ) This 11x17” poster is designed to promote immunization for all adults. Quantity Adult Immunization Poster: Older Adults ( Limit 25 ) This 11x17” poster is designed to promote immunization for older adults. Quantity Adult Immunization Poster: School personnel ( Limit 25 ) This 11x17” poster is designed to promote immunization for school personnel. Quantity Adult Immunization Poster: Healthcare Workers ( Limit 25 ) This 11x17” poster is designed to promote immunization for employees of healthcare facilities. Quantity HPV Vaccination Poster for College Students ( Limit 50 ) This 11x17” poster is designed to be used on college campuses to educate young adults about the role of HPV vaccination in preventing HPV-associated cancers and genital warts Quantity Childcare Facility Flu Vaccination Poster ( Limit 50 ) This 11x17” poster is designed to educate parents about the importance of flu vaccination in protecting their children and other children in the facility from influenza. Quantity reCAPTCHA Submit