• English (PDF-412K)
• Spanish (PDF-412K)

Contains patient information (name, DOB, provider, method, and coverage) and a place to record injections.

The Injection Card is initiated at the clinic or physician’s office, and taken by the patient to the pharmacy.

The pharmacist needs both the prescription and Injection Card to provide the IC service.

• English (PDF-8K)
• Spanish (PDF-8K)

Used by the pharmacists when providing IC services.

Patient completes the top portion; bottom portion functions as service record.

• English (PDF-420K)
• Spanish (PDF-104K)

Explains to consumers how to participate in the IC program.

May be used at the clinic or physician’s office and the pharmacy.

• English (PDF-416K)
• Spanish (PDF-416K)

Provides an overview of the use of Depo-Provera.

Pharmacists provide this brochure to patients when administering Depo-Provera injections.

• English (PDF-16K)
• Spanish (PDF-16K)

Displayed in participating pharmacies and health clinics to advertise the Health Step program to consumers.

• HTML
• PDF-100K

A list of references pharmacists may provide to patients for additional community resources.