Brochure & Poster Distribution Order Form

Brochures & Posters are applicable to Wayne County residents

General Information

Required Fields are marked with a red asterisk

Date of Request*

Requested By*

Provider Name*

Phone Number*

Phone

Brochure & Poster Information

Indicate the number of each requested brochure/poster. DWIHN will accommodate number of requests as much as possible, but there may be limitations in some cases.

ADVANCE DIRECTIVES

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ADVANCE DIRECTIVES - ARABIC COUNT

ADVANCE DIRECTIVES - ENGLISH COUNT

ADVANCE DIRECTIVES - SPANISH COUNT

AMBASSADOR CARDS

(limit 10 per order)

ANTI STIGMA BROCHURES - COMMUNITY

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ANTI STIGMA COMMUNITY - ARABIC COUNT

ANTI STIGMA COMMUNITY - ENGLISH COUNT

ANTI STIGMA COMMUNITY - SPANISH COUNT

ANTI STIGMA BROCHURES - MEMBER

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ANTI STIGMA MEMBER - ARABIC COUNT

ANTI STIGMA MEMBER - ENGLISH COUNT

ANTI STIGMA MEMBER - SPANISH COUNT

ANTI STIGMA BROCHURES - PROFESSIONAL

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ANTI STIGMA PROFESSIONAL - ARABIC COUNT

ANTI STIGMA PROFESSIONAL - ENGLISH COUNT

ANTI STIGMA PROFESSIONAL - SPANISH COUNT

GRIEVANCE & APPEALS BOOKMARKS

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GRIEVANCE & APPEALS - ARABIC COUNT

GRIEVANCE AND APPEALS - ENGLISH COUNT

GRIEVANCE & APPEALS - SPANISH COUNT

HOW CAN CUSTOMER SERVICE HELP YOU

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CUSTOMER SERVICE HELP - ARABIC COUNT

CUSTOMER SERVICE HELP - ENGLISH COUNT

CUSTOMER SERVICE HELP - SPANISH COUNT

HOW TO OBTAIN EMERGENCY & AFTER-HOUR BROCHURES

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EMERGENCY & AFTER HOURS - ARABIC COUNT

EMERGENCY & AFTER HOURS - ENGLISH COUNT

EMERGENCY & AFTER HOURS - SPANISH COUNT

HOW TO OBTAIN ROUTINE MENTAL HEALTH SERVICES

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MENTAL HEALTH SERVICES - ARABIC COUNT

MENTAL HEALTH SERVICES - ENGLISH COUNT

MENTAL HEALTH SERVICES - SPANISH COUNT

KEVIN’S LAW

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KEVIN'S LAW - ARABIC COUNT

KEVIN'S LAW - ENGLISH COUNT

KEVIN'S LAW - SPANISH COUNT

KNOW YOUR RIGHTS (SUD)

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KNOW YOUR RIGHTS - ARABIC COUNT (SUD)

KNOW YOUR RIGHTS - ENGLISH COUNT (SUD)

KNOW YOUR RIGHTS - SPANISH COUNT (SUD)

MEDIATION

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MEDIATION - ARABIC COUNT

MEDIATION - ENGLISH COUNT

MEDIATION - SPANISH COUNT

MEMBER HANDBOOKS

MEMBERS’ RIGHTS & RESPONSIBILITIES

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RIGHTS & RESPONSIBILITIES - ARABIC COUNT

RIGHTS & RESPONSIBILITIES - ENGLISH COUNT

RIGHTS & RESPONSIBILITIES - SPANISH COUNT

PROVIDER DIRECTORY

WE CARE CUSTOMER SERVICE POSTER

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CUSTOMER SERVICE POSTER - ARABIC COUNT

(limit 5 per order)

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CUSTOMER SERVICE POSTER - ENGLISH COUNT

(limit 5 per order)

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CUSTOMER SERVICE POSTER - SPANISH COUNT

(limit 5 per order)

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WE CARE DUE PROCESS POSTER

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DUE PROCESS POSTER - ARABIC COUNT

(limit 5 per order)

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DUE PROCESS POSTER - ENGLISH COUNT

(limit 5 per order)

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DUE PROCESS POSTER - SPANISH COUNT

(limit 5 per order)

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WELCOME TO DWIHN

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WELCOME TO DWIHN - ARABIC COUNT

WELCOME TO DWIHN - ENGLISH COUNT

WELCOME TO DWIHN - SPANISH COUNT

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