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ALLEGHENY COUNTY HEALTH DEPARTMENT STD/HIV PROGRAM Condom Supply Order Form ORGANIZATION/GROUP ___ Email Address ___ Contact Person/Position ___ Phone number ___ Organizations Address ___ SETTING:Health
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How to fill out condom supply order form

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How to fill out condom supply order form

01
Step 1: Obtain a copy of the condom supply order form from the designated source.
02
Step 2: Fill in the required contact information such as name, organization, and contact number.
03
Step 3: Indicate the quantity of condoms needed in the specified field.
04
Step 4: Provide any additional details or special instructions if necessary.
05
Step 5: Review the completed form for accuracy and ensure all required fields are filled out.
06
Step 6: Submit the form to the appropriate person or department responsible for processing condom supply orders.

Who needs condom supply order form?

01
Healthcare facilities
02
Community organizations
03
Educational institutions
04
Public health agencies
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Condom supply order form is a document used to request and report the quantity of condoms needed for a specific period of time.
Healthcare providers, organizations, and agencies that distribute condoms are required to file condom supply order forms.
You can fill out the condom supply order form by providing information such as organization details, requested quantity of condoms, delivery address, and contact information.
The purpose of condom supply order form is to ensure that adequate quantities of condoms are available for distribution to prevent the spread of sexually transmitted infections and unintended pregnancies.
Information such as organization details, requested quantity of condoms, delivery address, and contact information must be reported on condom supply order form.
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