Poison Prevention Request Form

The Alaska Poison Control System provides free poison prevention materials to Alaskan residents.

Name:

Organization:

Shipping Address:

City:

State:

Zipcode:

Please send me the following materials:

One item of a checked box will be sent unless otherwise noted in the comment section



Poison prevention information and guidance for emergency resources. In English and Spanish.

Posters — for display in public areas







Thank you for your interest in
Poison Prevention!