Clinical Card Order Form: Eligibility

**We are currently restocking clinical cards, and your order may be delayed. Requests will be processed in the order in which they are received.**

Clinical Cards
The Hepatitis C and Drug User Health Center of Excellence offers clinical cards to New York State (NYS)-based medical providers free of charge. We are unable to distribute cards to providers practicing outside NYS. Cards can be discreetly attached to a clinician's ID badge to provide all of the important information needed to make sound clinical decisions regarding hepatitis C and health for people who use drugs. For additional information, please contact Lauren Walker (lauren.walker3@mountsinai.org).

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*Photo shown is front and back of both clinical cards

*Photo shown is front and back of both clinical cards

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* 1. Are you ordering clinical cards for use by New York State-based medical providers (i.e., MD/DO, PA, NP, PharmD, DDS, Nurse Midwife)?

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