HIV, STD, Viral Hepatitis Consumer and Provider Materials Order Form

Orders for bulk quantities of HIV/AIDS Consumer Educational Materials available from the New York State Department of Health may now be placed on-line. (FREE)

On-line ordering of bulk materials is for shipping within New York State ONLY!

Ordering Instructions

This form is a PDF form, which means you can insert checkmarks or enter text only in the fillable pieces of this form. Please check off the number of copies of the material you are requesting and submit the form following the directions listed below.

There is also an Order Address Label included within the document which must be completed to indicate your name and where to send the materials.

Where to Send your Order Form

Order by email:

  1. Place check in the box to indicate the items and quantities you would like to order
  2. Complete the order address label below
  3. Save this electronic document on your computer
  4. Attach the completed form to an email and send it to:

Order by mail:

  1. Fill out the return address label below and send a completed order form to:
    • NYSDOH Distribution Center
      P.O. Box 343
      Guilderland, NY 12084

Many of the materials found on the order form may be viewed by downloading the PDF versions posted on the Brochures, Booklets & Posters webpage. You are encouraged to download and copy materials instead of ordering printed copies whenever possible.

Staff from the Educational Materials Initiative are available during regular business hours to help answer questions you may have about ordering materials, determining which materials will best meet the needs of your community or a specific topic. Call during regular business hours, Monday- Friday at (518) 474-3045 or by email at

Additional Information

  • Materials are available to New York State providers, consumers, and community members free of charge.
  • Orders are shipped from the New York State Department of Health Distribution Center in Albany.
    • They cannot be picked up in person.
    • Orders cannot be sent to Post Office Boxes. You will need a street mailing address.
  • Please allow 4-6 weeks for delivery.

Publications that are temporarily out of stock will be noted on a packing slip when you receive the order. If you have any questions about the availability of publications, please email

  • As of April 2017, there is no working fax number for the Distribution Center. Please email this order form or send through regular post.
  • Publications can be ordered outside of New York State. Please use this order form to do so.