Lung Health Navigators Material Order Form

Lung Health Navigators

The Lung Association's Lung Health Navigators are health experts who provide free and customized one-on-one education and support for individuals and their loved ones facing lung diseases like asthma and COPD.

Encourage your patients living with asthma and COPD to learn more about the program. Share these promotional materials in lobbies or treatment rooms, within presentations, with your colleagues and even through your networks of local community-based organizations and clinics.

Promotional materials are FREE. Orders can be placed in quantities of 25, 50, 100 or 200.

Orders are processed weekly on Wednesday. Please allow 10-14 business days for delivery of printed materials, which may look different than shown. For any questions, email HCPresources@Lung.org .

1. Name of Recipient *This question is required.

2. Name of Organization *This question is required.

3. Shipping address (Note: cannot ship to a Po Box) *This question is required.

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4. City *This question is required.

5. State *This question is required.

6. Zip code *This question is required.

7. Is this a personal or business address? *This question is required.

8. Phone number *This question is required.

9. Email address *This question is required.

10. How would you most likely describe your setting? *This question is required.

11. Which Initiative are you requesting materials for? *This question is required.