Diabetes Prevention and Control Program - Publication Order Form

Quantities of the publications listed on this sheet are available free of charge to New York State residents and organizations. To place an order, please circle the quantity desired and fill out the requestor information below. Forms may be faxed, mailed or e-mailed as specified below.

  • Fax: (518) 465-0432
  • Mail: New York State Department of Health, Distribution Center, 21 Simmons Lane, Menands, NY 12204
  • E-mail: b0019w@health.state.ny.us

Requestor Information

Name: ______________________________________________________
Organization: ______________________________________________________
Address: ______________________________________________________
City, State, ZIP Code: ______________________________________________________
Telephone Number: ______________________________________________________
Date: ______________________________________________________

Would you like a copy of our publication catalog? (circle one)

  • Yes
  • No
Title Type Language Code Number Circle Quantity
Household Sharps: How to Dispose of Them Properly Brochure English 0909* - 5 10 25 50 100
Spanish 0941* - 5 10 25 50 100
Hello Neighbor (Hola Vecino) Cookbook English 0913 1 - - 25 50 -
Spanish 0914 1 - - 25 50 -
It's Never Too Early to Prevent Diabetes. A Lifetime of Small Steps for a Healthy Family Tip Sheet for women with a history of gestational diabetes English 0921* 1 - - 25 50 -
Fit and Fabulous As You Mature Brochure designed to help women to move more and eat better English 0922 1 - - 25 50 100
Diabetes Management Guidelines for Adult Diabetes Care/Diabetes Mellitus Flow Sheet Guidance Document English 0923* - 5 10 25 50 100
Manage Your Diabetes For A Healthy Life Brochure English 0925* - 5 10 25 50 100
Manage Your Diabetes For A Healthy Life Poster English 0926* 1 5 10 - - -
Administering Glucagon (One Page Summary) Poster English 0928* 1 5 10 - - -
You Have the Power To Prevent Type 2 Diabetes &
"Healthy Plate" Food Choice Guide
Lifestyle
Modification Tool
English 0929* - 5 10 25 50 100
Eye Examination Report for Diabetes Documentation Tool English 0930* - 5 10 25 50 100
Am I at Risk for Type 2 Diabetes? Booklet English 0932* - 5 10 25 50 100
Your Game Plan for Preventing Type 2 Diabetes Booklet English 0933* - 5 10 25 50 100
Helping Your Overweight Child Booklet English 0934* - 5 10 25 50 100
Lower Your Risk for Type 2 Diabetes – Tips for Kids Tip Sheet English 0936* - 5 10 25 50 100
Vision Impairment & Diabetes-5 Key Messages Fact Sheet English 0939* - 5 10 25 50 100
Personal Diabetes Care Card Wallet Card English 0942* - 5 10 25 50 100
Spanish 0907* - 5 10 25 50 100
French 0974 - 5 10 25 50 100
Chinese 0975 - 5 10 25 50 100
Russian 0976 - 5 10 25 50 100
Children with Diabetes, A Resource Guide for Families and Schools Book English 0944* 1 5 10 - - -
1 carton (38 books)
Diabetes Foot Poster (a reminder to remove shoes and socks for foot exams) Poster English 0946* - - - - - -
Spanish 0946* - - - - - -
English/Spanish (dual language poster) 0946 1 5 10 - - -
Portion Plate-Adult Depicts serving sizes for adult food portions English 1612 1 5 10 25 - -
BMI Chart for Boys Ages 2-20 Chart Tool English 4948* 1 pad of 50
BMI Chart for Girls Ages 2-20 Chart Tool English 4949* 1 pad of 50
Pediatric/Adolescent BMI Calculator Wheel Health Care
Provider Tool
English 4950* 1 5 10 - - -
AAP recommendations for prevention of pediatric overweight and obesity/Steps to Calculate BMI Guidance Tool English 4951* 1 5 10 - - -
Take Charge of Your Diabetes Booklet English 0915 1 5 10 25 - -
Spanish 0920 1 5 10 25 - -
How Do You Control Your Diabetes? Don't Panic: ESAP Can Help! Brochure English 9458* - 5 10 25 50 100
Spanish 9459* - 5 10 25 50 100
Chinese 9460 - 5 10 25 50 100
How Can You Dispose of Used Sharps Safely? Poster English 9461 1 5 10 - - -
Spanish 9462 1 5 10 - - -
Chinese 9463 1 5 10 - - -
How Can You Dispose of Used Sharps Safely? Easel Counter
Top Display
English 9464 - 5 10 25 50 100
Spanish 9465 - 5 10 25 50 100
Chinese 9466 - 5 10 25 50 100
Prisoner Diabetes Handbook Book English 0971 1 - 10 25 50 100
Prevent Type 2 Diabetes Step by Step (Paso a Paso) Poster English 0905 1 - 10 25 50 100
Flyer English/Spanish 0902 1 - 10 25 50 100
Potholder Spanish 1 - 10 25 50 100
I Control My Diabetes Poster English 0903 1 - 10 25 50 100
Bookmark English 0967 1 - 10 25 50 100
Flyer English 0901 1 - 10 25 50 100
I Am Loving and Capable (IALAC): A Day in the Life of a Child with Diabetes Video English 0927 1 5 10 - - -
Cookin' with the Network Cookbook English 0937 1 - - 25 50 -
4 Steps to Control Your Diabetes For Life Booklet English 0970 1 - - 25 50 -
Weekly Food & Activity Tracker Booklet English 0994* 1 - 10 25 50 100
Could You have Pre-Diabetes? Booklet English 0995 1 - 10 25 50 100

*The marked publication may be printed individually on your printer, or you may access the separate Printable Publications page here.

Please Note

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