Stroke Center Network Discounted Stroke Educational Materials Order Form

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Imogen Fowler
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1 All prices and availability are subject to change without prior notice. Awareness Items AA6 Act FAST Wallet Card 0.25 each FM1 Act FAST Magnet 1.50 each PA9 Know the Symptoms Poster 5.00 each HM5 Spread HOPE Medication Card 0.50 each HM1 Spread HOPE Pen 1.50 each BG17 STARS (Steps Against Recurrent Stroke) Stickers FREE PC4 Stroke Awareness Lapel Pin 2.00 each AA5 Stroke Risk Score Card 0.40 each AA5S Stroke Risk Score Card (Espanol) 0.40 each Books and Magazines EZ10 Hope: A Stroke Recovery Guide (66 pages) 5.00 Helpful information, opportunity through self-advocacy, preventing another stroke and exercises. EB1 Courage: Poems and Positive Thoughts for Stroke Survivors (84 pages) Words of inspiration from survivors and caregivers

2 Brochures and Booklets Download free copies of all brochures at BG2 African Americans and Stroke 0.40 BE5 A Hole in the Heart: The Link Between PFO & Stroke 0.40 BG11 Caregivers and Stroke 0.40 BG7 Redesigned: Explaining Stroke, 1-10 copies 1.50 each BG7 Redesigned: Explaining Stroke, copies 1.25 each BG7 Redesigned: Explaining Stroke, 100+ copies 1.00 each BG7S Redesigned: Explaining Stroke, 1-10 copies (Espanol) 1.50 each BG7S Redesigned: Explaining Stroke, copies (Espanol) 1.25 each BG7S Redesigned: Explaining Stroke, 100+ copies (Espanol) 1.00 each BG19 Explaining Unpredictable Emotional Episodes/PBA 0.40 BG21 New Brochure: Diabetes and Stroke 0.40 BG9 Hemiparesis: Muscle Weakness after Stroke 0.40 BG8 Intracranial Atherosclerosis 0.40 BG13 Medication Adherence and Compliance 0.40 BE1 Mobility After Stroke 0.40 BC1S Reducing Risk El Ataque Cerebral (Espanol) 0.40 BG14 Steps Against Recurrent Stroke (STARS) 0.40 BG14S Steps Against Recurrent Stroke (STARS) (Espanol) 0.40 BE12 Stroke and Vision Loss 0.40 BE0 Stroke Related Sleep Disorders 0.40 BD1 Transient Ischemic Attack (TIA) 0.40 BG20 Understanding Medicare and How It Works 0.40 DVD and Video TV3 Brain Attack: A Stroke Survival Guide (VHS) 9.99 TV4 Pseudobulbar Affect: An Emotional Mismatch (DVD) FREE (limit 1)

3 Fact Sheets Fact sheets are also available as free downloads at IP2 Ability to Go Places IO2 Atrial Fibrillation (AF) and Stroke IN8 Be Smoke Free: Facts about Smoking and Stroke Risk IO7 Bladder & Bowel Function IK7 Cholesterol and Stroke IP0 Coping with Emotions IK6 Diabetes and Stroke IP6 Dealing with Pain IP3 Health Insurance IO9 Healthy Eating IN9 Hemorrhagic Stroke IP1 Managing Fatigue IP4 Managing Life at Home IP5 Movement and Balance IO8 National Stroke Association s Guide to Choosing Stroke Rehabilitation Services (English) IO8 National Stroke Association s Guide to Choosing Stroke Rehabilitation Services (Francais) IO8 National Stroke Association s Guide to Choosing Stroke Rehabilitation Services (Espanol) IP7 Personality and Behavior Changes IP8 Recurrent Stroke IP9 Redefining Sexuality IN4 Reducing Risk and Recognizing Symptoms IM8 Secondary Stroke IQ0 Sleep Disorders IQ1 Social Support IO1 Stroke 101 IN5 Stroke and High Blood Pressure IQ2 Thinking and Cognition

4 Information Packets Information packets provide a combination of brochures and materials. AB7 General Information Packet Information on stroke prevention and risk. Includes an issue of StrokeSmart magazine, a FAST wallet card, Stroke Risk Scorecard, Transient Ischemic Attack, High Blood Pressure and Stroke fact sheet, Explaining Stroke and Stroke Prevention. AB8 Recovery Information Packet Information on life after stroke. Includes an issue of StrokeSmart magazine, a FAST wallet card, Explaining Stroke, Mobility, STARS, Medication Adherence and Compliance, SSDI, Explaining Unpredictable Emotional Episodes, Post Stroke Checklist and HOPE: A Stroke Recovery Guide. Professional Tools and Training ABCD2 Tool ABCD2 score is a risk-assessment tool designed to improve the prediction of short-term stroke risk after a transient ischemic attack (TIA). Each tool contains 25 sheets per pad. TIA3 ABCD2 Tool (English) 1.00

5 Stroke Rapid Response EMS Training Program Stroke Rapid Response Online Access this online one-hour program at DE1 Stroke Rapid Response Basic Classroom Training Kit Ideal for EMS educators teaching a one-time course. Features a 60-page training manual including a how to train section, faculty CDROM presentation (not sold separately), exams, one sample each of Rules for the Road field guide, pre- and posttests and participant workbook. DE15 Stroke Rapid Response Supplementary Training Supply Set (prior purchase of basic kit required) Replenish training kit supplies or order materials necessary to complete the accreditation process with the Basic Classroom Kit. Includes 25 pre-test exams, 25 post-test exams and 25 training certificates. DE5 Stroke Rapid Response Workbook Participant workbook to use during classroom training sessions, with note-taking space. 5 each 3 ways to place an order: Call 1 (800) STROKES ( ) Fill out and fax the attached order form to (303) , Attn: Membership Manager Fill out and mail the attached order form to: National Stroke Association Attn: Membership Manager 9707 E. Easter Lane Ste. B Centennial, CO

6 Date Name Member ID Phone Fax Physical Mailing Address (orders cannot be sent to P.O. boxes) City State Zip Note: ONE FREE informational packet permitted per order / ONE COPY of any fact sheet permitted per order Item Qty Item Description Code Shipping and handling (FREE for U.S. members) Please contact pmembers@stroke.org or for international shipping quotes Price per Unit Subtotal - 20% SCN discount - FREE Total Order Amount FREE Purchase order Check enclosed (payable to National Stroke Association) Credit: (circle one) Visa MC AMEX DISC Card Number: Exp: Cardholder s Name:

Stroke Educational Materials. Item no. Title Price Quantity Total

Stroke Educational Materials. Item no. Title Price Quantity Total All prices and availability are subject to change without prior notice. AWARENESS ITEMS AA6 Act FAST Wallet Card $0.25 each FM1 Act FAST Magnet $1.50 each PA9 Know the Symptoms Poster $5.00 each BG17 Steps