Exit this resource order form Hepatitis Queensland Resource Order Form Hepatitis Queensland Resource Order Form This form updated 24 May 2018 Hepatitis Queensland Mailing Address: Hepatitis Queensland, PO Box 230 RBH, Herston QLD 4029 Street Address: 3/100 Campbell Street, Bowen Hills QLD 4006 info@hepqld.asn.au Admin: 07 3846 0020, Infoline: 1800 437 222 http://www.hepqld.asn.au * Many of these items are available for download and printing from our website www.hepqld.asn.au. Alternatively, click the resource names throughout the form below to view the resource in a new window. * Resources are free but limits apply. You will be contacted first if large orders would incur postage charges. * Stock items and quantities are subject to current availability and limits apply. If you would like to order larger quantities than specified in this order form please contact us. * If you require further information, or this resource order form in a different format, please call Hepatitis Queensland on 1300 437 222 Monday to Friday 9am-5pm, visit www.hepqld.asn.au or email info@hepqld.asn.au * Other resources can also be ordered from other organisations such as Qld Health, Queensland Injectors Health Network (QuIHN), Qld Positive People (QPP), Ethnic Communities Council of Queensland (ECCQ), and Australian Society for HIV Medicine (ASHM). * Please enter the number of copies of each resource required, in the boxes provided below, and click 'Done' at the bottom of this page. World Hepatitis Day Kits Question Title * Order your World Hepatitis Day kits - click here Click on the link above to order your kits Membership Form Question Title * . Hepatitis Queensland Membership Form Hep Factor Newsletter Question Title * All previous issues can be downloaded here. Hep Factor Summer 2017 (Online Version) [Max 10] Brochures, Posters & Booklets Question Title * . Qld Health We need to talk about hep C poster [Max 50] Qld Health We need to talk about hep C brochure [Max 50] Qld Health We need to talk about hep C simplified brochure [Max 50] Qld Health We need to talk about hep C brochure for people 40-60 [Max 50] Qld Health We need to talk about hep C insert for people 40-60 [Max 50] Qld Health We need to talk about hep C infographic [Max 50] Hepatitis Queensland (HQ) Annual Report 2016 - 2017 [Max 15] Hepatitis B & C and Alcohol [Max 50] What is Hep C? (Low Literacy, ie. easy-to-read) [Max 15] 'Don’t let hep C make ya weak' Indigenous Poster [Max 10] Hepatitis B: What you need to know - Arabic [Max 30] Hepatitis B: What you need to know - Mainland Chinese [Max 30] Hepatitis B: What you need to know - Vietnamese [Max 30] Liver Life : Tips and Truths About Your Liver [Max 25] Fibroscan Report pad for Hepatitis B - Liver Monitoring [Max 1 pad] (1 pad contains 50 tear-off sheets) Hep C Treatment for Prisoners Comic A4 For Correctional Settings [Max 30] Hep C Treatment for Prisoners Comic A3 For Correctional Settings [Max 10] Hepatitis A Brochure in Creole - Torres Strait (view online) [Max 10] Hepatitis B Brochure in Creole - Torres Strait (view online) [Max 20] Hepatitis C Brochure in Creole - Torres Strait (view online) [Max 20] Factsheets Question Title * . 2017 Hepatitis Stats & Facts [Max 20] Hepatitis C Treatment Infographic [Max 20] Treatments available for hepatitis C [Max 20] Hep C treatment in prison [Max 20] First Aid and Standard Precautions [Max 20] Hep B series Living with hepatitis B [Max 20] Hep B series Chronic hepatitis B: phases [Max 20] Hep B series Hepatitis B: checkups [Max 20] Hep B series Hepatitis B: tests [Max 20] Hep B series Hepatitis B: the facts [Max 20] Hep B series Hepatitis B: treatment [Max 20] Alcohol and viral hepatitis [Max 20] Hepatitis C tests [Max 20] No. 04 Complementary therapies and hepatitis [Max 20] No. 05 Informed consent [Max 20] What is a healthy diet for someone with hepatitis? [Max 20] No. 09 Needle-stick injury and syringe disposal [Max 20] No. 12 Safer injecting and hepatitis [Max 20] No. 13 Harm minimisation [Max 20] No. 26 Hep C, my baby and me [Max 20] No. 29 Sexual transmission [Max 20] No. 32 Superannuation and insurance [Max 20] No. 35 Natural history of hepatitis B and C [Max 20] ‘How do you get Hep C?’ ‘Hepatitis and looking after your liver’ double-sided Easy Read Factsheet [Max 20] Hepatitis A: The Facts [Max 20] Body art and hepatitis [Max 20] Telling someone you have hepatitis [Max 20] Disclosure within work and healthcare [Max 20] Centrelink & Job Services Australia [Max 20] Support and referral [Max 20] Stress and hepatitis [Max 20] Fatigue and sleep [Max 20] Hepatitis A, B & C for Aboriginal and Torres Strait Islander people [Max 20] Specialised Resources (Limited Stocks) Question Title * . Aboriginal and Torres Strait Islander Health Workers and Blood-Borne Viruses (ASHM) [Max 5] Emergency Service Providers and Blood-Borne Viruses (ASHM) [Max 5] Antenatal Testing and Blood-Borne Viruses (BBVs) (ASHM) [Max 5] Hepatitis B and Primary Care Providers [Max 5] Police and Blood-Borne Viruses (ASHM) [Max 3] Correctional officers and hepatitis C – Factsheet (ASHM) [Max 5] Primary Care Providers and Hepatitis C [Max 5] Hepatitis B - Your Crucial Role as a Primary Health Care Nurse [Max 5] Together We Can: See Our Future [Max 2] DVDs Question Title * . "Infectious Personalities" : Reducing hepatitis and HIV discrimination in healthcare [Max 5] Delivery Details Question Title * Today's Date: Today's Date: Date Question Title * Date resources are required by: Question Title * First Name: Question Title * Last Name: Question Title * Department Question Title * Organisation Question Title * Address Line 1: Question Title * Address Line 2: Question Title * Suburb/City Question Title * State ACT NSW NT QLD SA TAS VIC WA Question Title * Post Code Post Code Question Title * Phone Number (include Area Code, and no spaces) Phone Number (include Area Code) Question Title * Email Address Question Title * Would you like to be subscribed to our monthly Hepatitis Queensland news emails, if you aren't already? Yes No I am HQ staff (internal office use only) Question Title * Special Delivery Comments (if any) Question Title * Do you prefer this online resource order form to ordering via fax, mail, email, or phone? Yes No Unsure Not applicable Question Title * How did you hear about this online ordering of Hepatitis Queensland's resources HQ ABC Training HQ Campaign HQ C-Network Service HQ Event HQ Facebook page HQ Hep Factor newsletter HQ Member HQ Resource HQ Staff HQ Website HQ World Hepatitis Day Outreach event Hepatitis Australia TV Community Service Announcement Liver Clinic GP/Medical Centre Mental Health Service Indigenous Organisation Multicultural Organisation Drug and Alcohol Service Sexual Health Service Online news article Television Website Partner/Family/Friend Phone book Print news/magazine article Radio Other (Please specify below) Unsure Internal order- Office use only Other (please specify) Question Title * Please enter any comments you may have about this new online resource order form Next