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.

 

Brochures              
Easy Steps to Properly Fit a Helmet (These are all in packs of 50)      Helmet Fit Checklist    A Bicycle Helmet For My Child  
               
Skateboard Helmets
 
  How Children See Traffic      Home Safety Checklist 
Poison Help Brochure  
  Check for Safety
  What You Can Do to Prevent Falls  
               
Is Your Home Playground a Safe Place to Play?                
               
Educational Items              
Poison Help Magnets (packs of 50)       Poison Help Stickers (packs of 100)          
               
Otto's Poison Discovery Stickers   Otto's Poison Discovery Poster   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.)
               
 Grades K-2 Activity Sheets   Grades 3-5 Activity Sheets   Poison Prevention Activity Book  
               
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         
               
Toolkits      
Poison Lookalike Kit    
(This one can be checked out and can be shipped)
           
               

                                     

Date:   

Name:    

Business/Health Agency Name:    

Mailing Address:  (Need Physical Address for UPS)   

City:      State:   Zip:        

Phone Number:        

Email:    

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 Prevention and Control at 800.472.2286 or 701.328.4536.