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The Wellness Center offers limited free health supplies to students and personal supplies to all faculty, staff, and students. Please fill out this form to request supplies be sent to you through campus mail or stop by the Wellness Center during office hours (Buntrock 112) to pick up supplies. If you do not receive your supplies, please email email@example.com.
First Name & Last
Department, Office Building & Location (for staff and faculty)
Check all personal supplies needed.
1.8oz Hand Sanitizer
Check all sleep and stress supplies needed.
Check all sexual health supplies needed.
Lubricated External condoms- Trojan brand, normal fit
Lubricated External condoms- Lifestyle brand , normal fit
Lubricated External extra ribbed condoms- Trojan brand, normal fit
Lubricated External ultra-thin condoms- Trojan brand, slim fit
Lubricated External magnum condoms- Trojan brand, large fit
Lubricated External latex-free condoms- Trojan brand, normal fit
Lubricated Internal condoms (latex-free)
Check all menstrual supplies needed.
Check all other supplies needed.
Self-Care Planning Worksheets
List of Coping Skills
Sore Throat Kit (salt rinse, throat tea, and cough drops)