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Request Form - Depression and Anxiety Magnets

Meriter Health Services is collaborating with the Madison Metropolitan School District and University Health Services to raise awareness of the symptoms of depression and anxiety, and intervention options available in our community.

In the hope that teens and their parents will recognize symptoms of depression and anxiety, Meriter is distributing 10,000 magnets on each topic.

This promotion is limited to residents of Dane county only.
If you would like to request a set of free magnets, please fill out this form or call Meriter Community Relations, (608) 417-5656.
 
* = required field

Name:


Organization:


Address:


* City:


County: Dane only

State: Wisconsin Only

* Zip Code:


Phone Number:


E-mail Address:


Number of Anxiety Magnets Requested:


Number of Depression Magnets Requested:


 

Anxiety Magnet

Depression Magnet