Health Resource Order Form

If you are an individual and would like a free, three-month supply of multivitamins with folic acid, take the folic acid quiz here!

If you are a healthcare provider, educator, or community health worker who would like folic acid materials for your patients and clients, keep reading!

Please note that the PowerPack contains multivitamins with 400 mcg of folic acid, not prenatal vitamins. These vitamins are meant for women who are not pregnant.

Thank you for helping spread the word about the PowerMeA2Z campaign and the importance of folic acid for all women of childbearing age! Please use this Health Resource Order Form to order materials to promote the campaign.

PowerMeA2Z provides FREE bulk materials to health care providers, educators, and health organizations to help enhance your client outreach or patient education. Below you will find a list of campaign materials available in English and Spanish for order.

Please remember to encourage your clients to order directly from the website. We know that in some cases, such as when clients do not have internet access, distributing materials directly is the best way to serve your clients. Bulk materials may also be provided for distribution by campaign partners at community events.

Each order will be reviewed prior to processing. Please include an email and telephone number so we may contact you if we have any questions.

Allow 2-3 weeks for delivery. If materials are needed more quickly, please contact us.

PowerMeA2Z Bulk Materials

PowerPack – English Contains “Power Your Life” preconception health magazine, emery board, and a three-month supply of vitamins with folic acid. Order (# of copies):

PowerPack – Spanish Contains “Power Your Life” preconception health magazine in Spanish, emery board, and a three-month supply of vitamins with folic acid. Order (# of copies):

“Power Your Life” preconception health magazine – English Download PDF Order (# of copies):

“Power Your Life” preconception health magazine – Spanish Download PDF Order (# of copies):

“Power Your Family Plan” Interconception health pamphlet – English Download PDF Order (# of copies):

“Power Your Family Plan” Interconception health pamphlet – Spanish Download PDF Order (# of copies):

PowerMeA2Z Campaign Flyer – English only Order (# of copies):

PowerMeA2Z Emery Board – English only Order (# of copies):

PowerMeA2Z Doctor’s Referral Card – English only Order (# of copies):

“Birth Control After Baby” Booklet – English Download PDF Order (# of copies):

“Birth Control After Baby” Booklet – Spanish Download PDF Order (# of copies):

PowerMeA2Z Pass It On Cards – English only Order (# of copies):