Head Lice: A Lousy Problem Booklet Request Form
Head Lice: A Lousy Problem booklet is available at no cost to any person, facility or hospital. If you have questions, call 1.800.472.2286 press 0.
To request copies, please complete the information below. If we are unable to fill your entire request, we will contact you. Please allow 1-2 weeks for delivery.
Date: Date is required
Name: Name is required
Agency: Agency is required
Street Address: (No PO Boxes)Street Address is required
City: City is required State: State is required Zip: Zip is required
Phone Number: Phone number is required
Head Lice: A Lousy Problem: (Quantity) Quantitiy is required