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Patient Education Repository Submission Request

Date
/ /  
Replace Existing Patient Education
Does this replace an existing Patient Education?


Patient Education Type
Type of submission
Contact Information
Author Information If there is author information that is separate from the primary contact information, please provide that below.
Patient Education Translations
Need Spanish translation?


Terms of Use
Any image, words, forms or other copyrighted materials from another source must be credited, and may need Permission To Use.
Source
TO ORDER MULTIPLE COPIES:
  1. Search for and choose the link to your document. (Left click)
  2. Right click the document PDF in the record. Choose "Copy shortcut" from the drop down menu.
  3. Open your email to send a "New E-mail".
  4. Right click in the body of the email to paste the link into the email.
  5. Send email with your name, PTAO, quantity and contact/delivery information to .