• Act Early Ohio Order Form

  • Scan the QR code to learn more about the Act Early Physician Toolkits and Clinic Materials.  Items can be ordered in toolkits or individually. Unless otherwise noted, all tools are available in English and Spanish.

  • Physician Toolkits

  • Materials in toolkit (packed in Act Early Ohio bag):

    • Children's Book (1-year old book, 2-year old book, 3-year old book)
    • "Learn the Signs. Act Early." Brochure
    • Concerned Cards
    • Milestone Moments Booklet
    • Milestone Tracker App Flyer

    Note: Children's Book is the only item that changes in the bags (i.e., 1-year old book in 1-year old toolkit, etc.)

  • Learning Materials

    Please indicate the number of each item and the preferred language.
  • Categories: All
    All
    Physician Toolkits
    Clinic Materials
    Individual Items From Toolkits
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    Physician Toolkits
    1-Year-Old Toolkits Limit: 50
     $  Free   
    Language Quantity
    English
    Spanish
       
    2-Year-Old Toolkits Limit: 50
     $  Free   
    Language Quantity
    English
    Spanish
       
    3-Year-Old Toolkits Limit: 50
     $  Free   
    Language Quantity
    English
    Spanish
       
    Clinic Materials
    Ohio Help Me Grow Referral Sheet (by region; laminated) Available in English Only Limit: 10
     $  Free   
    Language Quantity
    English
       
    Milestone Tracker App Flyer (laminated) Limit: 10
     $  Free   
    Language Quantity
    English
    Spanish
       
    Individual Items From Toolkits
    1 Year-Old Book Baby's Busy Day: Being One is So Much Fun! Limit: 30
     $  Free   
    Language Quantity
    English
    Spanish
       
    2 Year-Old Book Where Is Bear? A Terrific Tale for 2 Year-Olds Limit: 30
     $  Free   
    Language Quantity
    English
    Spanish
       
    3 Year-Old Book Amazing Me: It's Busy Being 3! Limit: 30
     $  Free   
    Language Quantity
    English
    Spanish
       
    Milestones Tracker App Flyer
     $  Free   
    Language Quantity
    English
    Spanish
       
    Milestones Moments Booklet Limit: 50
     $  Free   
    Language Quantity
    English
    Spanish
       
    "Learn the Signs. Act Early." Brochure Limit: 50
     $  Free   
    Language Quantity
    English
    Spanish
       
    Total
    $ 0.00

  • For questions in completing the order form, email actearlyohio@cchmc.org.

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