Adagio Health Resources Order Form
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For more information, please call 1-800-215-7494 or contact Adagio Health. If you would like to order by
mail, please print this form and return it to:
CAPP
Adagio Health
960 Penn Avenue, Suite 600
Pittsburgh, PA 15222
FAX: 1-412-288-9036
I would like to order the following resources:
_____ Family Connections are a series of guidebooks designed
by Adagio Health's Center for Adolescent Pregnancy Prevention to assist
parents in talking with their children of all ages about sexuality.
Please select which age-specific guidebook(s) are of interest to you.
Cost: Single copies are FREE. Additional copies available at $1.00 per
book plus shipping & handling.
_____ Birth to Age 7
_____ Ages 8 to 13
_____ Ages 14 to 18
_____ RAPP: Effective HIV Prevention in a Box is a valuable resource for health departments, researchers, and community organizations interested in HIV prevention. Includes three RAPP manuals (implementation manual, training manual, and ready-to-use role model stories) and a video. Cost: $250 + shipping and handling.
_____ Teen Connections is a resource directory listing teen-friendly social and health services in a specific area. These books are free for distribution to teens, but shipping & handling charges apply. CAPP produces Teen Connections for Allegheny and Erie counties; please specify which county is of interest to you. Cost: Single copies are FREE. Bulk orders will be charged shipping & handling.
_____ Allegheny County/ Pittsburgh
_____ Erie County/ Erie
_____Teen Pregnancy in Pittsburgh and Allegheny County: A Comprehensive
Look is a joint publication of Adagio Health's Center for Adolescent
Pregnancy and the Department of Applied Research. This resource provides
an overview of teen pregnancy and prevention efforts in Allegheny County.
Copies available while supplies last. Cost: $10.
Amount Due: ____________________________________
Please make your check payable to Adagio Health.
or _____ charge my VISA/Master Card (circle one) acct. # ____________________ Expiration date ______________
Signature _______________________________________
Mailing Address:
Name __________________________________________
Organization _____________________________________
Street Address ____________________________________
City, State, Zip ____________________________________
Phone ___________________________________________
E-mail ___________________________________________
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