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Texas Health Steps Request for Material - …

Texas Health StepsRequest for MaterialShip materials to: (please print clearly)Contact Person:Company/Agency:Telephone: ( _____ ) _____ Ext. _____Fax: ( _____ ) _____Email Address: _____Send completed form to:THSteps Products ManagementFax: 512-533-3860 Email: 512-919-1623 Online: items may be limited due to State requirements. You will be notified of items on back order. Balance due will be shipped when available unless otherwise Management Materials(Please provide physical address - we cannot ship to PO Boxes)Form THSPM-1 (01/19)Stock NumberDescriptionQuantity Ordered1-322 Hearing Screening Result Fact Sheet (English)1-322 AHearing Screening Result Fact Sheet (Spanish)1-323 Hearing Checklist Fact Sheet (English)1-323 AHearing Checklist Fact Sheet (Spanish)1-325 Newborn Hearing Screening Brochure1-326 Genetics and Hearing Brochure1-327 After The Hearing Screen Brochure1-328A Roadmap For Families1-334 Quick Reference Guide for Audiologists1-335 Quick Reference Guide For Physicians1-336 Quick Reference Guide for Screeners1-337 Managing, Tracking and Reporting Data in

Texas Health Steps Request for Material Ship materials to: (please print clearly) Contact Person: Company/Agency: Telephone: ( _____ ) _____ Ext. _____ Fax

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