Publication request form

View our privacy policy. | * = Required fields.

Shipping information

First name *	Last name *
Organization name
Street address *	Street address (line 2) (optional)
City *	State *	Zip code *
Email address *	Phone number *	Phone extension

Choose publications

If the publication you are looking for is not in the list below it is currently low on stock or out of stock. Please call us if you have a specfic question about a publication or enter your question in message section below. Learn more about our publications.

Select a publication *

Quantity *

Select a publication (optional)

Quantity (optional)

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Quantity (optional)

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Quantity (optional)

How will you use these publications? *

If other, please specify * (Required if you answered 'other' to the last question - 250 character limit)

At this time only 4 publication requests are allowed at a time. Please call us if you would like additional publications.

Message Your message (optional - 500 character limit)

Please note

This is not an order form. This is a request form. Not all materials requested may be available at the quantity you request when your order is placed by one of our information and referral specialists.
Please allow one week for your request to be processed. If an order is placed on your behalf, you will be emailed details of your order. Once placed, orders can take two to six weeks to be delivered.
Delivery outside the United States is not available. You can download and print PDF versions of our publications from this website.
Publications are free of charge and there is no cost to you for shipping.
Only one order per 30 day period is allowed. Duplicate orders will not be honored.

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Content last updated February 15, 2013.

womenshealth.gov
A federal government website managed by the Office on Women's Health in the Office of the Assistant Secretary for Health at the U.S. Department of Health and Human Services.
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