Injury Prevention and Control Program
Order Form


If you have questions call 800.472.2286, select option 1.

Enter the quantity wanted for each item and the information requested below and press the "Submit" button at the bottom of the page.

Please limit quantities to 250 per item and allow 2 to 4 weeks for delivery.


Helmet Fit Checklist    A Bicycle Helmet For My Child   How Children See Traffic     
Home Safety Checklist 
  Is Your Home Playground a Safe Place to Play?       Poison Help Brochure  
Check for Safety
  What You Can Do to Prevent Falls
Educational Items              
Poison Help Magnets (packs of 50)       Poison Help Stickers (packs of 50)          
Otto's Poison Discovery Stickers   Otto's Poison Discovery Book
(We have a limited number of books. They can be checked out, but must be sent back to the Health Department.)
Banners (These 2 Banners are available for check out. (Dimensions are 31.5" x 89") They can be shipped via UPS or picked up here.)      
Bike Helmet Retractable Banner      Playground Safety Retractable Banner         




Business/Health Agency Name:    

Mailing Address:  (Need Physical Address for UPS)   

City:      State:   Zip:        

Phone Number:        


Date Needed:     

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If you experience trouble submitting the form online, you can call your order in to the North Dakota Division of Injury & Violence Prevention at 800.472.2286 or 701.328.4536.