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Healthy Moms and Healthy Babies Order Form

Updated 4.16.08

Healthy Babies Kits Online Order Form

The Anne Arundel County Department of Health and the Anne Arundel County Healthy Babies Coalition offer FREE Healthy Pregnancy and Baby Care Kits to Anne Arundel County residents. Anne Arundel County residents can request these kits using this online request form. Anyone can order materials from this site, but kits can only be mailed to addresses in Anne Arundel County.

If you are a health care or social service provider, you can order FREE Healthy Babies Posters, Flyers, Brochures and Information Cards for your clients.


Select the kit(s) that you would like to receive.
Healthy Pregnancy Kit - This free kit has information about how to have a healthy pregnancy and baby. Your kit will tell you about:
  • Anne Arundel County services and phone numbers to help you have a healthy pregnancy
  • fetal movements
  • preterm labor
  • breastfeeding
  • safe sleeping for a baby
  • keeping a smoke-free home
Baby Care Kit - This free kit has information about how to keep your baby healthy. Your kit will tell you about:
  • Anne Arundel County services and phone numbers
  • baby care
  • breastfeeding
  • safe sleeping for a baby
  • never shaking a baby and how to cope with a crying baby
  • child car seat safety
  • keeping a smoke-free home
 

* Starred fields are required.
* Name (First Name & Last Name):
E-mail:
Phone:
Apartment Number:
* Street:
* City:
* Zip Code:
Gender:
Age:
Are you Hispanic or Latino?
Race:
 
* How did you hear about Healthy Babies?
    Department of Health Program
           Healthy Start
           Maryland Children's Health Program (MCHP)
           Family Planning/Maternity Program
           Other Department Program
                Name of Department Program

    Billboard
    Family/Friend
    Health Care Provider/Hospital
    Healthy Babies Brochure/Information Card
    Healthy Babies Flier/Poster
    Internet/Web Site
    Newspaper
          Name of Newspaper
    Radio
          Name of Radio Station
    Television
    Stork's Nest
    Other
            Comments:
   
* Critical fields, must be filled in.

If you have any suggestions or questions regarding the Healthy Babies Program, please Contact us. If you would like to have a reply, please include your e-mail address or phone number. Thank You.

DIRECTORY OF SERVICES | CONTACT US | AA COUNTY GOVERNMENT | SITE USE POLICY AND DISCLAIMER
Anne Arundel County Department of Health, 3 Harry S. Truman Parkway, Annapolis, Maryland 21401, 410-222-7095