Publication Order Form

If you would like to receive a copy of any of the publications listed below, please print this form and mail it with your payment to:

American Health Assistance Foundation
22512 Gateway Center Drive
Clarksburg, Maryland 20871

You may request a total of 10 free publications. There is a 50 cent charge for each additional publication with a minimum charge of $5.00.

You may request one free Annual Report. Each additional Annual Report is $5.00.

Postage and handling fees are also applied for orders coming from outside of the United States. Please email your name, address, and your publication selection(s) to Mr. Jeff Honaker at jhonaker@ahaf.org. You may also call (301) 948-3244. He will respond back with detailed instructions.

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Alzheimer's Disease Publications
Publications	Qty.	Cost
Alzheimer's Research Review - Free Newsletter
Care for the Caregiver: Managing Stress - Free
Family Caregiver Health Guide - $2.50
Honest Answers for the Recently Diagnosed Alzheimer Patient - $2.00
I'll Be There: Caring For Your Parents, Job, Kids and Marriage - $1.00
Safety and the Older Driver - Free Note: this same booklet can also be found in the macular degeneration and glaucoma sections on this page.
Staying Safe: Wandering & the Alzheimer's Patient -Free
Understanding Alzheimer's Disease Brochure - Free
Subtotal

Macular Degeneration Publications
Publications	Qty.	Cost
Amsler Grid - - Free
Living with Macular Degeneration - $5.00
Low Vision Aid Resource List - Free
Macular Degeneration Research News - Free Newsletter
Macular Degeneration: The Essential Facts - Free
Safety and the Older Driver - Free Note: this same booklet can also be found in the Alzheimer's disease and glaucoma sections on this page.
Subtotal

Glaucoma Publications
Publications	Qty.	Cost
National Glaucoma Research Report - Free
Living with Glaucoma - $5.00
Low Vision Aid Resource List - Free
Safety and the Older Driver - Free Note: this same booklet can also be found in the macular degeneration and Alzheimer's disease sections on this page.
The Essential Facts on Glaucoma - Free
Subtotal

Annual Report
Publication	Qty.	Cost
Annual Report - One free copy is available upon request

Grand Total

Qty.	Cost

Billing Information
When using MasterCard, American Express or Visa, there is a $5.00 minimum purchase.
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Please make checks payable to the American Health Assistance Foundation.

Publications Mail Order Form

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