Wisconsin Coverdell Stroke Education Materials Order Form (F-03253)


Thank you for being a Coverdell partner or having interest in partnering with the Wisconsin Coverdell Stroke Program. We are happy to provide Stroke Education Materials to Learning Collaborative partners, Community Organizations, EMS, and Hospitals.


Materials can be viewed on the Wisconsin Coverdell Stroke Program website under the Community stroke education tab.


We have taken the form off the website as we are trying to reduce shipping and material costs programmatically. There are new budgetary restrictions that do not allow us to distribute materials as frequently or as widely as we have historically. A greater emphasis will be placed on each partner site gathering materials during in-person events.


CDC has requested we focus mailing materials to the catchment area of this new grant, being Brown, Dane, Outagamie, Dodge, Racine, Milwaukee, and Waukesha counties. We will be able to send periodically to other locations but request when ordering that you order in bulk (e.g., an amount that will last you ~1 year).


All items are subject to availability. We will make our best efforts to inform you as soon as possible if the materials you have ordered are not available or if shipment may be delayed.


Contact the Wisconsin Coverdell Stroke team at dhscoverdellstroke@dhs.wisconsin.gov if you need assistance, have questions regarding ordering materials, or about partnering with the Wisconsin Coverdell Stroke Program.

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Select which in-person meeting you will collect materials at.

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Please share information about who is picking the materials up.


Shipping Information

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Briefly describe your upcoming event.

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BE FAST Bella


BE FAST helps people remember the signs and symptoms of a stroke (BE FAST) so 911 can be called quickly.


B – BALANCE: Sudden loss of coordination or balance.

E – EYES: Sudden change in vision.

F – FACE: Sudden weakness on one side or facial droop

A – ARM: Sudden arm or leg weakness or numbness.

S – SPEECH: Sudden slurred speech, trouble speaking, or trouble understanding speech.

T – TERRIBLE HEADACHE: Sudden onset of a terrible headache.

BE FAST Bella Transient Ischemic Attack (TIA) Poster

These materials are available in English and Spanish.

Enter a quantity in increments of 25 (i.e., 25, 50, 75, 100)

BE FAST Bella Posters

These materials are available in English, Hmong, and Spanish.


Enter a quantity in increments of 25 (i.e., 25, 50, 75, 100).

BE FAST Bella Bookmarks

These materials are available in English, Hmong, Somali, Spanish, and Russian.


Enter a quantity in increments of 25 (i.e., 25, 50, 75, 100).

BE FAST Bella Wallet Card

These materials are available in English, Hmong, Somali, Spanish and Russian.


Enter a quantity in increments of 25 (i.e., 25, 50, 75, 100).

BE FAST Bella Magnets

These materials are available in English, Hmong, Somali, Spanish, and Russian.


Enter a quantity in increments of 25 (i.e., 25, 50, 75, 100).

Coloring and Activity Book

Stroke Prevention and Awareness Coloring and Activity Book is available in English.

Enter a quantity in increments of 25 (i.e., 25, 50, 75, 100, 125)

BE FAST Placemat

English Placemat

Enter a quantity in increments of 50 (i.e., 50, 100, 150, 200, 250).


Risk Factor Rick


Prevention means taking steps to avoid strokes. This includes eating a balanced diet, getting regular physical activity, controlling blood pressure, preventing or managing diabetes, limiting alcohol intake, and quitting smoking. These are all shown on our Risk Factor Rick materials.


Risk Factor Rick Alcohol

These materials are available in English, Hmong, and Spanish


Enter a quantity in increments of 25 (i.e., 25, 50, 75, 100).

Risk Factor Rick Blood Pressure Posters

These materials are available in English, Hmong, and Spanish.


Enter a quantity in increments of 25 (i.e., 25, 50, 75, 100).

Risk Factor Rick Cholesterol

These materials are available in English, Hmong, and Spanish.


Enter a quantity in increments of 25 (i.e., 25, 50, 75, 100).

Risk Factor Rick Diabetes

These materials are available in English, Hmong, and Spanish.


Enter a quantity in increments of 25 (i.e., 25, 50, 75, 100).

Risk Factor Rick Exercise Posters

These materials are available in English, Hmong, and Spanish.


Enter a quantity in increments of 25 (i.e., 25, 50, 75, 100).

Risk Factor Rick Wisconsin Quitline Posters

These materials are available in English, Hmong, and Spanish.


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Risk Factor Rick American Indian Quitline Posters

These materials are available in English.


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Other

English

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Feedback

Share how these materials are being distributed by your organization and the intended impacts of them.


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