Triage Health Bulk Materials Request Form
Please complete the following request form to order Triage Health educational materials from Triage Cancer. Please allow for 2-3 weeks for materials to arrive.  For questions, please email TriageHealth@TriageCancer.org. 

Please note: the materials listed below are the ones currently available for shipping. You can also print copies of these materials from our website. To see the full library of resources visit TriageHealth.org/Quick-Guides.

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First Name *
Last Name *
I am a *
Hospital/Organization *
Shipping Address: Street Number and Name *
City *
State *
Zip code *
Email *
Phone Number (for questions) *
Please share how these materials will be used. *
Triage Health: Quick Guides - Please identify the quantity that you are requesting, by topic. If you would like custom amounts, please note amounts below.
25
50
Other (more than 50 please indicate # below)
ADA & Reasonable Accommodations
Appeals: Individual & Employer Plans
Disability Insurance
Finding Financial Help - Checklist
Family & Medical Leave Act (FMLA) - Extended
Getting Organized - Checklist
Getting & Paying For Prescription Drugs
Health Insurance Basics
Health Insurance Comparison Worksheet
Health Insurance Marketplaces
Managing Medical Bills
Medicaid
Medicare Basics
Medicare Plan Comparison Worksheet
Medicare Savings Programs
Options When Losing Employer-Sponsored Health Insurance
Custom amount requested
Triage Health: Practical Guides to Navigating Health Care - Please identify the quantity that you are requesting, by topic. If you would like custom amounts, please note amounts below.
25
50
Other (more than 50 please indicate # below)
Triage Health: Practical Guide to Navigating Health Care
Triage Health: Practical Guide to Caregiver Rights
Spanish- Triage Health: Practical Guide to Navigating Health Care
Spanish- Triage Health: Practical Guide to Caregiver Rights
Custom amount requested
Flyers - Please identify the quantity that you are requesting, by topic. If you would like custom amounts, please note amounts below.
25
50
100
Other (more than 100 please indicate # below)
Information Sheet on Triage Health
Information Sheet on Triage Health - Spanish
2025 Triage Health Webinar Flyer
2025 Triage Health Conference Flyer
Custom amount requested
Postcards - Please identify the quantity that you are requesting below.
25
50
100
Animated Videos (English & Spanish)
MyHealthCareFinances.com
MyHealthCareFinances.com - Spanish
MyHealthCareFinances Tear Pad
Firefighter Postcard
Clear selection
Custom amount requested
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