Resource request form

Use this form to request free resources for you and your patients – mailed free of charge within Canada only.

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1. First name (Required.)

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2. Last name (Required.)

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3. Email address (Required.)

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4. Phone number (Required.)

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5. Mailing address (Required.)

Company/Organization

Street Address incl unit/suite *

City/Town *

Province *

Postal Code *

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6. Please identify yourself. I am a/an: (Required.)

Family physician

Paediatrician

Allergist

Dietitian

Nurse

Researcher

Naturopath

Other healthcare professional (please specify)

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7. Please select the English resources you would like mailed to you. Each resource is mailed in quantities of 25 unless otherwise noted. If you would like a different quantity, please specify the quantities for each resource in the comment box.

“Eat Early. Eat Often.”: 4-page mini-booklet with practical tips on feeding babies early, recipes for different allergenic foods, and more. Created in collaboration with the Canadian Society of Allergy and Clinical Immunology.

Facts for primary care providers: 8-page booklet with quick facts on the early introduction of allergenic foods, diagnosis, treating anaphylaxis with epinephrine, and more. (Mailed in quantity of 1)

Information sheet set (1 page per topic): Topics include food allergy & anaphylaxis, stress & anxiety, epinephrine, diagnosis, daily management, and myths & facts.

Information sheet set (2 sheets): Signs and symptoms of anaphylaxis, including in babies, and the 5 emergency steps to follow in case of anaphylaxis, including body positions.

"Caring for a child with food allergy”: 12-page guide with essential food allergy and anaphylaxis information for caregivers like grandparents, babysitters, and others.

“Living confidently with food allergy”: 60-page handbook for newly diagnosed families includes practical information and tips. An essential resource for parents and shown by research to significantly improve quality of life. (Mailed in quantities of 2)

Small group webinars flyer: Details on free managing food allergy and anaphylaxis webinars, designed for parents of newly diagnosed children. (Mailed in quantities of 10)

Pollen allergy and foods chart: Descriptive and visual chart focused on PFAS/OAS and foods that may trigger symptoms.

AllergyAware.ca flyer: Details on free 30-minute online courses for managing anaphylaxis in school, child care & community settings.

Information sheet on eosinophilic esophagitis (EoE): Overview of this condition, including symptoms, causes, diagnosis, and treatment.

If you would like a different quantity of resources, please specify below.

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8. Please select the French resources you would like mailed to you. Each resource is mailed in quantities of 25 unless otherwise noted. If you would like a different quantity, please specify the quantities for each resource in the comment box.

Information sheet set (1 page per topic): Topics include food allergy & anaphylaxis, epinephrine, and daily management.

“Caring for a child with food allergy”: 12-page guide with essential food allergy and anaphylaxis information for caregivers like grandparents, babysitters, and others.

Information sheet set (2 sheets): Signs and symptoms of anaphylaxis, including in babies, and the 5 emergency steps to follow in case of anaphylaxis, including body positions.

Pollen allergy and foods chart: Descriptive and visual chart focused on PFAS/OAS and foods that may trigger symptoms.

AllergyAware.ca flyer: Details on free 30-minute online courses for managing anaphylaxis in school, child care & community settings.

Information sheet on eosinophilic esophagitis (EoE): Overview of this condition, including symptoms, causes, diagnosis, and treatment.

If you would like a different quantity of resources, please specify below.

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9. “Caring for a child with food allergy” in additional languages. Please select which resources you would like mailed to you. Each resource is mailed in quantities of 10. If you would like a different quantity, please specify the quantities of each resource in the comment box.

"Caring for a child with food allergy” in Punjabi: 12-page guide with essential food allergy and anaphylaxis information for caregivers like grandparents, babysitters, and others.

"Caring for a child with food allergy” in Simplified Chinese: 12-page guide with essential food allergy and anaphylaxis information for caregivers like grandparents, babysitters, and others.

"Caring for a child with food allergy” in Traditional Chinese: 12-page guide with essential food allergy and anaphylaxis information for caregivers like grandparents, babysitters, and others.

"Caring for a child with food allergy" in Spanish: 12-page guide with essential food allergy and anaphylaxis information for caregivers like grandparents, babysitters, and others.

"Caring for a child with food allergy" in Arabic: 12-page guide with essential food allergy and anaphylaxis information for caregivers like grandparents, babysitters, and others. (Note: currently being updated, orders will be sent out separately)

"Caring for a child with food allergy" in Plains Cree: 12-page guide with essential food allergy and anaphylaxis information for caregivers like grandparents, babysitters, and others.

"Caring for a child with food allergy" in Ukrainian: 12-page guide with essential food allergy and anaphylaxis information for caregivers like grandparents, babysitters, and others.

"Caring for a child with food allergy" in Tagalog/Filipino: 12-page guide with essential food allergy and anaphylaxis information for caregivers like grandparents, babysitters, and others.

If you would like a different quantity of resources, please specify below.

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10. If you are interested in patient resources in languages other than those listed above, please specify which language(s) below so we can consider them for future translations.

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* 1. First name (Required.)

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* 2. Last name (Required.)

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* 3. Email address (Required.)

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* 4. Phone number (Required.)

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* 5. Mailing address (Required.)

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* 6. Please identify yourself. I am a/an: (Required.)

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* 7. Please select the English resources you would like mailed to you. Each resource is mailed in quantities of 25 unless otherwise noted. If you would like a different quantity, please specify the quantities for each resource in the comment box.

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* 8. Please select the French resources you would like mailed to you. Each resource is mailed in quantities of 25 unless otherwise noted. If you would like a different quantity, please specify the quantities for each resource in the comment box.

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* 9. “Caring for a child with food allergy” in additional languages. Please select which resources you would like mailed to you. Each resource is mailed in quantities of 10. If you would like a different quantity, please specify the quantities of each resource in the comment box.

Question Title

* 10. If you are interested in patient resources in languages other than those listed above, please specify which language(s) below so we can consider them for future translations.

1. First name (Required.)

2. Last name (Required.)

3. Email address (Required.)

4. Phone number (Required.)

5. Mailing address (Required.)

6. Please identify yourself. I am a/an: (Required.)

7. Please select the English resources you would like mailed to you. Each resource is mailed in quantities of 25 unless otherwise noted. If you would like a different quantity, please specify the quantities for each resource in the comment box.

8. Please select the French resources you would like mailed to you. Each resource is mailed in quantities of 25 unless otherwise noted. If you would like a different quantity, please specify the quantities for each resource in the comment box.

9. “Caring for a child with food allergy” in additional languages. Please select which resources you would like mailed to you. Each resource is mailed in quantities of 10. If you would like a different quantity, please specify the quantities of each resource in the comment box.

10. If you are interested in patient resources in languages other than those listed above, please specify which language(s) below so we can consider them for future translations.