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Ordering BMI Screening Materials

For more information, go to the New York State Department of Health (NYSDOH) Web site at: http://www.health.state.ny.us/prevention/obesity/bmi_screening_tools.htm

To order copies, complete this form and mail or fax to: NYSDOH Distribution Center 21 Simmons Lane Albany, NY 12204 Fax: 518-465-0432

All items are free for New York State organizations. Please allow at least three weeks for delivery. PLEASE NOTE: We do not mail to P.O. Box addresses.

Item #4950 BMI Wheel #4948 Boys BMI-for-Age Growth Chart (pad of 25) #4949 Girls BMI-for-Age Growth Chart (pad of 25) #4987 Boys BMI-for-Age Growth Chart Laminated Poster (17'' X 22") #4988 Girls BMI-for-Age Growth Chart Laminated Poster (17" X 22")

Circle Quantity 1 2 3 4 5 (limit 5) 1 2 3 4 5 (limit 5) 1 2 3 4 5 (limit 5) 1 2 3 4 5 (limit 5) 1 2 3 4 5 (limit 5)

Print contact information: Name:___________________________________________________________________ Organization:_____________________________________________________________ Address:_________________________________________________________________ City/State/Zip: ____________________________________________________________

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Ordering BMI Screening Materials

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