CLEARINGHOUSE ORDER FORM FOR HIV/STD/Hepatitis EDUCATIONAL MATERIALS

Transcription

1 CLEARINGHOUSE ORDER FORM FOR HIV/STD/Hepatitis EDUCATIONAL MATERIALS The following items are available in quantity, at no charge, from the Ohio Department of Health, HIV/STD Prevention Program. Materials CANNOT be shipped to a post office box. Check the appropriate column for the amount of materials desired, or use the blank form below to write in the titles and quantities (allowable) requested. All items are subject to availability. Please allow four to six weeks for delivery. Mail, , or fax this form to: Ohio Department of Health HIV/STD Prevention Program Attn: Educational Materials Clearinghouse 12/26/14 P.O. Box 118 Columbus, OH Telephone: FAX: to mary.spivey@odh.ohio.gov Agency: Name: For Internal Use Only: IRMS: Order #: Address: City:, OH Zip: Telephone: Fax: Check if you do not want future updates (needed for updates) ODH Code Form Title Quantity HIV/AIDS H196 R A 47664A HIV Facts VIH [HIV Facts] (Pocket Minder) HIV Prevention and Testing Your guide to staying safer from HIV (Pocket Minder) Prevencíon y prueba del VIH Su guía para estar más protegido contra el VIH [HIV Prevention and Testing Your guide to staying safer from HIV] HIV Keeping Tabs on Your Status 12/26/14 1

2 35441A HIV Testing - A part of routine health care 35528A La prueba del VIH - Una parte de la atención de rutina de la salud [HIV Testing - A part of routine health care] 31750D HIV Testing Get the Facts 30263D ETR366 La Prueba Del VIH: Conozca Los Hechos [HIV Testing Get the Facts] HIV Q & A Rapid Test HIV Testing Know where you stand La prueba del VIH: infórmese sobre su situacion English/ bilingual [HIV Testing Know where you stand] You, Your Baby--and HIV/El VIH, su bebé y usted A Healthy Pregnancy and HIV Testing Women, HIV and AIDS Facts for Life Las mujeres el VIH y el SIDA: información esencial [Women, HIV and AIDS Facts for Life] 12/26/14 2

3 Sisters Talk About HIV: Alma s Story English/ bilingual (Hispanic/Latina Audiences) Dos hermana hablan del VIH La historia de Alma [Sisters Talk About HIV: Alma s Story] (Hispanic/Latina Audiences) Guys and HIV Think About It/Los hombres y el VIH Piénselo 5130 Young and Gay Protect Yourself From HIV 5381 Joven Y Gay: Protegete Contra El VIH [Young and Gay Protect Yourself From HIV] HIV and Men A Call to men Of Color Una llamada de advertencia - El VIH y Los Hombres [HIV and Men A Call to Men of Color] Keep Free From HIV-For Men (African American Audiences) Brothers Talk About HIV: Manuel s Story (Hispanic /Latino Audiences) Dos hermanos hablan del VIH La historia de Manuel [Brothers Talk About HIV: Manuel s Story] (Hispanic /Latino Audiences) For Gay and Bisexual Men Out & Proud preventing HIV Alcohol, Other Drugs & Sex Breaking the link to HIV/STDs El Alcohol, Otras Drogas Y El Sexo Cómo romper el vínculo con el VIH y las ETS [Alcohol, Other Drugs & Sex Breaking the link to HIV/STDs] 12/26/14 3

4 English/ Drugs and HIV Think About It/Drogas y VIH Pienselo bilingual Safer works if you shoot drugs 5134 HIV AND SEX Unsafe Safer Safest 5146 EL VIH Y EL SEXO Muy riesgoso Menos riesgoso Poco riesgoso English/ bilingual [HIV and Sex Unsafe Safer Safest] Condoms Think About It/Condones Piénselo (Pocket Minder) Women STDs and Condoms Condoms What women need to know ETR159 Condones: lo que las mujeres deben saber [Condoms What women need to know] Safer Sex Talking with your partner STD Ways to Make Love Without Doin It Maneras De Amarnos Sin Tener Sexo [101 Ways to Make Love Without Doin It] ETR011 Living with HIV: Staying Healthy ETR015 Living with HIV: Sex HIV: Positive Choices-Living Poz VIH: Opciones Positivas-Viviendo con el positivo [HIV: Positive Choices-Living Poz ] Ohio HIV Care Services (brochure) 12/26/14 4

5 STD STD153 STD Facts STD165 ETS Las enfermedades transmitidas sexualmente [STD Facts Sexually Transmitted Disease] (Pocket Minder) STDs your guide for staying STD-free (Pocket Minder) ETS su guia para mantenerse libre de ETS [STDs your guide for staying STD-free] 83247C STDs: Keeping Tabs on Being STD Free 83296C Las ETS: Seleccione y lea sobre cómo evitar contraer ETS [STDs: Keeping Tabs on Being STD Free] STD 414 STD422 STD Testing: Sexually Transmitted Disease ETS Las pruebas: Las enfermedades transmitidas sexualmente [STD Testing: Sexually Transmitted Disease] STD185 R858 STD186 ETR116 Syphilis Sífilis [Syphilis] Gonorrhea Chlamydia 12/26/14 5

6 STD428 HPV: About the Vaccine 5329 HIV, STIs and Oral Sex 5380 STD 5571 El VIH, las ETS y el sexo oral [HIV, STIs and Oral Sex] How STIs Affect your Body STD5607 Telling Your Partner You Have An STI Tips for Talking (Multicultural/LGBT Inclusive) HIV/STD Testing For You (African American Audiences) HEPATITIS 235 Hepatitis ABCs 302 La Hepatitis Tipos ABC [Hepatitis ABCs] 5608 Needles HIV and Hepatitis Stay Free from Hepatitis B No sea víctima de la hepatitis B [Stay Free from Hepatitis B] Hepatitis B Stop the Spread Hepatitis B: detenga la propagacion [Hepatitis B Stop the Spread] Hepatitis C Understanding the Risk Hepatitis C Entienda el riesgo [Hepatitis C Understanding the Risk] 12/26/14 6

7 Hepatitis C What you should know Hepatitis C: lo que usted debe saber [Hepatitis C What you should know] Hepatitis C and Inmates La hepatitis C y los presos [Hepatitis C and Inmates] YOUTH/YOUNG ADULT Giving Your Child the Facts About HIV and AIDS From preschool through high school Cómo decir a su hijo(a) la verdad sobre el VIH y el SIDA- desde el preescolar hasta la secundaria [Giving Your Child the Facts About HIV and AIDS From preschool through high school] 5128 Encouraging Abstinence Ten Tips for Parents 5137 Fomentando la abstinencia para los padres Diez consejos English/Spanis h bilingual [Encouraging Abstinence Ten Parents] Young People Get HIV/ La gente joven contrae el VIH Tips for HIV and AIDS Facts for Young People El VIH y el SIDA: informacion para jovenes [HIV and AIDS Facts for Young People] On Postponing Sex (Work book) Teacher s Leader s Guide for On Postponing Sex 12/26/14 7

8 What s Up With Abstinence (workbook) Teacher s /Leader s Guide for What s Up with Abstinence STD516 STD Facts For Teens 5167 A Teen s Guide To STIs 5043 A Teen s Guide to HIV and AIDS 5550 Guia Para Adolescentes Sobre El VIH Y El SIDA [A Teen s Guide to HIV and AIDS] Teens Talk about HIV & AIDS Los adolescents hablan sobre EL VIH Y EL SIDA [Teens Talk about HIV & AIDS] 5065 Sexual Pressure: A Survival Guide For Guys 5149 Presión Sexual: Guía De Supervivencia Para Los Hombres Jóvenes [Sexual Pressure: Guys] A survival Guide For 5116 Before You Date An Older Guy 5151 STD Antes De Salir Con Alguien Mayor Que Tu [Before You Date An Older Guy] About HIV and AIDS (Coloring and Activities book) Sobre El VIH y El SIDA [About HIV and AIDS] (Coloring and Activities book) 12/26/14 8

9 POSTERS/AUDIOVISUAL/FORMS ODH Code Form Title Quantity HIV Facts Poster STD Facts Poster POSTERS Ohio Condom Poster -General Ohio Condom Poster - LGBT Limit 1 XXX XXX XXX XXX AUDIOVISUALS STD Free Living For Teens (A Presentation Kit) (Binder with Power point on CD & brochures) DVD HABLAR SOBRE LA PRUEBA [Talk About Testing] FORMS Positive Lab Findings for Reportable Diseases (4 Part) 12/26/14 9

10 EXPANDED HIV TESTING PROGRAM MATERIALS ODH Code Form Title Quantity ODH KNOW YOUR STATUS POSTER (English) ODH KNOW YOUR STATUS POSTER () ODH Steps Booklet (English) ODH Steps Booklet () ODH Your Status Is Negative Palm Cards (English) XXX ODH Your Status Is Negative Palm Cards ( ODH HIV Quick Reference Card (English) XXX XXX ODH HIV Quick Reference Card () XXX ODH Know Your Status Buttons (English) ODH Know Your Status Buttons () ODH Remind Me Buttons (English) ODH Remind Me Buttons () 12/26/14 10

11 CLEARINGHOUSE ORDER FORM FOR HIV/STD/Hepatitis EDUCATIONAL MATERIALS ODH Code Form Title Quantity Other Mail, , or fax this form to: Ohio Department of Health HIV/STD Prevention Program Attn: Educational Materials Clearinghouse P.O. Box 118, Columbus, OH Telephone: FAX: to Agency: IRMS: Name: Address: Order #: City:, OH Zip: Telephone: Fax: Check if you do not want future updates (needed for updates) 12/26/14 11