Home › Request CD Containing Oral Health and HIV Toolkit

Request CD Containing Oral Health and HIV Toolkit

Fill out the form below to request the Oral Health and HIV Toolkit to be mailed to you on compact disk (CD). Please allow 2 weeks for fulfillment of your request. Please note: This form is to request a single copy of the toolkit only. If you have a need for multiple CDs, please contact Edi Ablavsky at 617-638-1935 or edia@bu.edu. Please note: Although the PEER Center project has ended, CDs are still available.

Contact Information

Name: *

Organization: *

Address: *

Address 2:

City/Town: *

State/Province: *

ZIP Code/Postal Code:

Country (if other than U.S.):

About Your Organization

How would you describe your organization?:

Community-Based Organization

Hospital

Health Clinic

AIDS Service Organization

Social Service Agency

Other

If other, please describe:

Does your organization receive Ryan White funding?: *

Yes

No

Don't know

If yes, what parts? (Check all that apply.):

Part A

Part B

Part C

Part D

How do you plan to use this toolkit?: *

Would you like to be added to our mailing list to receive PEER Center updates via email?:

Yes

No

Email address:

Login or register to post comments

Search this site:

Home
News
About Us
Partner Sites
How Peers Help
Models for Peer Programs
Resources for Peer Programs
Build a Peer Program
Frequently Asked Questions
Newsletter
Contact Us

Peer Advanced Competency Training program (PACT)

PEER Center • Health & Disability Working Group • BU School of Public Health • 715 Albany Street • Boston, MA 02118-2526 • (617) 638-1930
© 2012 Health & Disability Working Group