Stroke Educational Materials. Item no. Title Price Quantity Total
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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 BG17 Steps Against Recurrent Stroke (STARS) Stickers FREE (1) PC4 Stroke Awareness Lapel Pin $2.00 each BOOKS and MAGAZINES EZ10 Hope: A Stroke Recovery Guide (72 pages) $5.00 each Helpful information, opportunity through self-advocacy, preventing another stroke and exercises. GB0 StrokeSmart Magazine Individual Subscription/Order Information and articles for stroke survivors, their families and caregivers, including survivor and caregiver stories, the latest medical technology developments and breakthroughs in stroke- related products and services. FREE (call for subscription rates outside the U.S.) GB0 StrokeSmart Magazine One Time Bulk Order 25 copy minimum order StrokeSmart magazine is free to individual subscribers and members. Bulk copies are available for purchase for nonmember facilities and other organizations $1.50 each
2 BROCHURES BG2 African Americans and Stroke $0.40 each BG11 Caregivers and Stroke $0.40 each BG21 Diabetes and Stroke $0.40 each BG7 Explaining Stroke 1-10: $1.50 ea 11-99: $1.25 ea 100+: $1.00 ea BG7S Explaining Stroke/Explicando de Ataque Cerebrovascular 1-10: $1.50 ea 11-99: $1.25 ea 100+: $1.00 ea BG19 Explaining Unpredictable Emotional Episodes/PBA $0.40 BG12 Making the AFib-Stroke Connection $0.40 BG13 Medication Adherence and Compliance $0.40 BE1 Mobility After Stroke $0.40 BC1 Reduce Your Risk of Stroke Starting Now $0.40 BG14 Steps Against Recurrent Stroke (STARS) $0.40 BF1 Stroke and Social Security Disability Insurance $0.40 BE12 Stroke and Vision Loss $0.40 BD1 Transient Ischemic Attack (TIA) $0.40 BG20 Understanding Medicare and How It Works DECISION AIDS DA1 Medication Tracker allows you to manage your medications FREE (1) and stay organized. DA1S Medication Tracker/Seguimiento del medicamento le permite FREE (1) administrar sus medicamentos y mantenerse organizado. DA2 Post-stroke Checklist for Survivors and Caregivers can help you Free (1) address challenges you might forget during an appointment and issues you might not know are related to your stroke or that are embarrassing to bring up. DA3 Spasticity After Stroke Checklist FREE (1) AA5 Stroke Risk Scorecard $0.40 each AA5S Stroke Risk Scorecard/Puntaje de riesgo de ACV $0.40 each
3 FACT SHEETS Fact sheets are also available as free downloads at Fact Item no. Sheets Title Price IO2 Atrial Fibrillation (AFib) and Stroke FREE (1) Quantity Total IO7 Bladder and Bowel Function FREE (1) IG0 Carotid Artery Disease and Stroke FREE (1) IK7 Cholesterol and Stroke FREE (1) IP0 Coping with Emotions FREE (1) IP6 Dealing with Pain FREE (1) IK6 Diabetes and Stroke FREE (1) IP2 Driving After Stroke FREE (1) IA1 Fibromuscular Dysplasia and Stroke FREE (1) IO8 Guide to Choosing Stroke Rehabilitation Services FREE (1) IO8S Guide to Choosing Stroke Rehabilitation Services/Guía para FREE (1) Elegir Servicios de Rehabilitación de ataque cerebrovascular IO8F Guide to Choosing Stroke Rehabilitation Services/Guide pour une selection de services de reeducation suite à un accident vasculaire cérébra FREE (1) IP3 Health Insurance FREE (1) IO3 Healthy Eating FREE (1) IO9 Healthy Eating After Stroke FREE (1) IN9 Hemorrhagic Stroke FREE (1) IN5 High Blood Pressure and Stroke FREE (1) IP1 Managing Fatigue FREE (1) IP4 Managing Life at Home FREE (1) IP5 Movement and Balance FREE (1) IP10 Patent Foramen Ovale and Stroke FREE (1) IP7 Personality and Behavior Changes FREE (1) IP11 Physical Activity FREE (1) IP8 Recurrent Stroke FREE (1) IP9 Redefining Sexuality FREE (1) IN4 Reducing Risk and Recognizing Symptoms FREE (1) IM8 Secondary Stroke Prevention FREE (1) IP12 Shopping List FREE (1) IQ0 Sleep Disorders FREE (1) IN8 Smoking and Stroke FREE (1) IQ1 Social Support FREE (1) IO2 Stroke 101 FREE (1) IQ2 Thinking and Cognition FREE (1)
4 INFORMATION PACKETS 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 brochure, High Blood Pressure and Stroke fact sheet, Explaining Stroke brochure and Reduce Your Risk of Stroke Starting Now brochure. FREE (1) 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. FREE (1) PROFESSIONAL TOOLS TIA3 ABCD2 score is a risk assessment tool designed to improve the prediction of short-term stroke risk after a transient ischemic attack (TIA). 25 sheets per pad. $1.00 TIA3S NC1A DE2 ABCD2/AIT score is a risk assessment tool designed to improve the prediction of short-term stroke risk after a transient ischemic attack (TIA). 25 sheets per pad. NIH Stroke Scale Exams and Scoring Includes proctor instructions and transmittal form, exam sheet in scannable format, confirmation letter with exam score and passing certificate (if applicable). Stroke Rapid Response Rules for the Road booklet is a 16-page laminated quick reference to patient assessment perfect for EMS providers. $1.00 $25.00 each $4.00
5 Order Form Date Name Phone Fax Physical Mailing Address (orders cannot be sent to P.O. boxes) Qty Item Description Item Code Price per Unit Order Amount Subtotal $ Support National Stroke Association: Give a gift to help fight stroke + Shipping and Handling (see chart below) + TOTAL $ Purchase order Check Credit: (circle one) Visa MC AMEX DISC Card number: Exp: Cardholder s Name:
6 Ways to place an order: Call 1 (800) STROKES ( ) Fill out and fax the attached order form to (303) Fill out and mail the attached order form to: National Stroke Association 9707 E. Easter Lane Ste. B Centennial, CO Shipping & Handling Order Amount Shipping Under $7 $5 $ $20 $10 $20.01-$50 $15 $50.01-$100 $20 $ $150 $25 $ $200 $35 More than $200 *see note *All materials are shipped UPS Ground or U.S. Mail. Orders over 30 lbs. will be assessed according to weight. Please allow one to two weeks for delivery. For orders over $200 or for 2-day, overnight or international orders, shipping costs are determined case by case. All orders shipping outside of the contiguous 48 states (Hawaii, Alaska, Canada, and U.S. territories) incur additional shipping charges. You will be contacted via regarding your estimated shipping charges and orders will be processed once the charges are approved.
Stroke Center Network Discounted Stroke Educational Materials Order Form
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
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