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CCSP manual - BC Cancer Agency

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Educational Materials Order Form<br />

Cervical <strong>Cancer</strong> Screening Program<br />

Material Requests<br />

8th Floor<br />

686 West Broadway<br />

Vancouver, <strong>BC</strong> V5Z 1G1<br />

Phone: 1-888-248-9508<br />

Fax: 604-629-2510<br />

Please call or fax this form to the <strong>CCSP</strong> to receive copies of the following free of charge:<br />

Number Requested:<br />

________________<br />

________________<br />

________________<br />

________________<br />

________________<br />

Item Requested:<br />

Technique for Obtaining Cervical Smears – Laminated Instruction Card<br />

Speculum Exam & Pap Smears – Video<br />

Questions & Answers About Screening for <strong>Cancer</strong> of the Cervix – Brochure<br />

Understanding Pap Smear Results – Brochure<br />

Annual Report (most current year)<br />

Name:<br />

____________________________________________________________________________<br />

Address: ____________________________________________________________________________<br />

____________________________________________________________________________<br />

____________________________________________________________________________<br />

MSC#<br />

_____________________<br />

16

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