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Literature Packet Order Form |
| LITERATURE PACKETS | Quantity Ordered |
| Bipolar Disorder & Its Treatment - General Packet | |
| Child & Adolescent Bipolar Disorder | |
| Treatment of Bipolar Disorder in the Elderly | |
| Lithium & Bipolar Disorder - General Packet | |
| Divalproex (Valproate) & Bipolar Disorder | |
| Carbamazepine & Bipolar Disorder | |
| Gabapentin & Bipolar Disorder | |
| Lamotrigine & Bipolar Disorder | |
| Olanzapine & Bipolar Disorder | |
| Topiramate & Bipolar Disorder | |
| Rapid Cycling Bipolar Disorder | |
| Treatment of Bipolar Depression | |
| Lithium & Pregnancy | |
| Lithium & Kidney Function | |
| Lithium & Thyroid Function | |
| Lithium & Memory, Cognitive Function | |
| Lithium & Weight Gain | |
| Lithium Poisoning | |
| Total # of Packets Ordered | |
| Total Cost of Packets at $10.00 per packet $ | |
| Shipping Charge $ | 4.95 |
| Optional
Tax Deductible Donation to: Madison Institute of Medicine $ |
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| TOTAL ORDER $ | |
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© 2000, Madison Institute of Medicine
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Mail or Fax order to: Thanks for your interest in the Information Centers. In addition to our patient information booklets we offer packets with information addressing frequently asked questions. The cost for each packet is $10.00 plus shipping. To order packets please print out the order form and fill it out, then mail, fax, or call us with your order. |
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| Telephone
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| Method of Payment: | ||
 Check
or money order made payable to:Madison Institute of Medicine |
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MasterCard
Visa |
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| Acct # | Exp. Date | |
| Signature | Date | |
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