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Empowering seniors to prevent healthcare fraud

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SMP Order Form

Materials for Distribution

"*" indicates required fields

Name of Requestor
Date Requested
Date Needed
Ship to Address

ITEM DESCRIPTION, LANGUAGE, QUANTITY

SMP Brochure
Language
SMP Brochure
Language
SMP Brochure
Language
Postcard
Language
Postcard
Language
Flyer
Language
Flyer
Also, see our Fraud Alerts page to download and print in additional languages.
Language
Flyer
Also see our Fraud Alerts page to download and print.
Language
Hanger
Language
Journal
Language
My Health Care Tracker
Language
SMP Grippers
Language
ID Card Holder
Language
SMP Mail Opener
Language
SMP Pens
Language
Placemats
Language
This field is for validation purposes and should be left unchanged.