EmailMe Form - Order Form

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I would like to order: How Patients Can...

Enter the printed quantity for each brochure you would like to order below.
Work with Doctors Towards Better Health
Help Coordinate Their Care
Communicate Better with Doctors
Work with Doctors to Improve Their Child's Health
Please answer these few short questions to help MHQP have a better idea of potential audiences and distribution methods.
Please describe the audience you hope to distribute these materials to:
Please describe how you will distribute these brochures (e.g. office waiting room, patient mailing)