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Order Form
Please print this page and complete the form by hand.
Name:
Title:
Organization:
Address:
City, State, and ZIP:
Telephone:
Fax:
Please note that Feet Can Last a Lifetime and other Government publications are not subject to copyright restrictions. You are encouraged to duplicate and distribute as many copies as desired.
| Item |
Quantity |
Price |
Total |
Feet Can Last a Lifetime Kit--for Health Care Providers. This publication is not currently available in print. Please see the web version.
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NA |
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| Commercial-printer-ready electronic master of entire kit--including the patient brochure--on zip cartridge for printing your own supply. Call 301-654-3327 for more information. |
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$75 |
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Take Care of Your Feet for a Lifetime--for Patients. 12-page, 2-color, illustrated booklet on proper foot care (sold in packages of 25).
|
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$10 |
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Commercial-printer-ready electronic master of patient brochure on zip cartridge. NOTE: Do not order this cartridge if you have ordered the $75 cartridge.
|
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$50 |
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Feet Can Last a Lifetime Videotape
Part 1. Patient Education--focuses on proper foot care (11 minutes);
Part 2. Health Care Provider Education--reviews steps for conducting foot exam, assessing patients' risk category, and counseling patients on foot care (11 minutes).
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$7 |
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Total (includes shipping) $ |
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To order, mail this form with check or money order payable to
Feet Can Last a Lifetime. Please allow 3 to 5 weeks for delivery. Mail to:
Feet Can Last a Lifetime
One Diabetes Way
Bethesda, MD 20892-3600
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National Diabetes Education Program (NDEP) http://ndep.nih.gov
NIDDK, National Institutes of Health, Bethesda, MD
A Joint Initiative of the National Institutes of Health and the
Centers for Disease Control and Prevention |
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