Health Care Professionals Resource Ordering Form Resource Order FormResources to help support your practice and the health of your patients. These resources can only be ordered by health care provider offices (for example, physician and primary care settings), long-term care homes, and retirement homes. Many resources are available to download and print for your convenience. For hard-copy resources, please place an order. Please note that the availability of supplies is subject to change. If you need a new Vaccine Cooler, please call 519-383-8331 ext. 3558.Contact InformationHealth Care provider/ Clinic Name(Required)Email(Required) Main Contact Name(Required)PhoneInfectious Disease Prevention & ControlTuberculosis RulerSelect Quantity To Order15101520Maternal/Child Health Post Card: HBHC Ask a Public Health NurseSelect Quantity to Add to Order255075100Brochure: Clinical & Family ServicesSelect Quantity to Add to Order255075100VaccinesPoster Immunization Through the LifespanSelect Quantity to Add to Order12345Yellow Immunization CardsSelect Quantity to Add to Order255075100Sticker: Yellow Immunization Card Report VaccinesSelect Quantity to Add to Order255075100Min-Max ThermometerSelect Quantity to Add to Order12Water BlanketSelect Quantity to Add to Order12Ice PackSelect Quantity to Add to Order12Sticker: "Do Not Unplug"Select Quantity to Add to Order1234Sticker: "How to Monitor Your Refrigerator Temperature"Select Quantity to Add to Order1234Sticker: "Protect Your Vaccines – Protect Your Patients"Select Quantity to Add to Order1234Sticker: "STOP! "Select Quantity to Add to Order1234Sticker: "This Cooler Contains Perishable Vaccines DO NOT FREEZE"Select Quantity to Add to Order12Vaccine Refrigerator Maintenance Log Book (English)Select Quantity to Add to Order12Vaccine Storage and Handling Guidelines Booklet (English)Select Quantity to Add to Order12Vaccine Temperature Log Book (English)Select Quantity to Add to Order12Digital Downloads Vaccine Temperature Log Book PDF Vaccine Storage and Handling Guidelines PDF The information in this form is being collected, used, and disclosed subject to the Health Protection and Promotion Act (Ontario) or the Personal Health Information Protection Act, 2004 (Ontario). Personal information contained on this form is collected for the purposes of resource ordering from Lambton Public Health. Any information you share will be used only for the intended purpose for which it was provided. Any questions regarding the collection, use and disclosure of this information may be directed to Lambton Public Health at 519-383-8331 or toll free 1-800-667-1839.