Poison Prevention Request Form

The Alaska Poison Control System provides free poison prevention materials to Alaskan residents.

Name:

Organization:

Shipping Address:

City:

State:

Zipcode:

Please send me the following materials:

One item of a checked box will be sent unless otherwise noted in the comment section

Poison Magnet — for your refrigerator
Poison Stickers — for your phones
"Your Poison Center" Brochure
Poison prevention information and guidance for emergency resources. In English and Spanish.
Key chain and wallet cards

Posters — for display in public areas

Curiosity Shouldn't Kill
For Poison Emergencies – At home or on the road
Mistaken Identity – Look-a-Likes
Illegal Drugs – Drugs are Deadly
Poison Purse – Poisonous contents in a purse and its causes
Some things are great to take in – Inhalant message

Comments:

Thank you for your interest in
Poison Prevention!