Healthcare Resources Request 
These resources are meant for healthcare professionals and their patients/clients to learn more about TOPS and healthy living. Please fill out this form by entering contact information and then choosing what and how many resources you would like sent. You will receive your resources within 1-2 weeks for the US and 2-3 weeks for Canada!

*You will not receive these resources unless you fully complete this form.
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Name *
Title (RN, Dietician, etc.) *
Company/Practice Name *
If you are not a healthcare professional but would still like these resources, explain what they will be used for.

Note: These are not free chapter meeting materials or for solely personal use, these are healthcare resources.
Address (street, city, state/province, zip) to send resources to *
Phone Number *
Email *
Healthy & Active Magazine – The "best of" articles featured in TOPS News, the membership magazine. *
Powerful Support for Real Weight Loss and Lifelong Health – Concise, thorough explanation of TOPS. Ideal for sharing with patients! *
Healthy Eating for Families – Written for teens and their parents, grandparents and healthcare providers. *
Emotional Eating – Encouraging insights to recognize and resolve emotional eating issues, which can sabotage weight-loss efforts. *
Take Control of Diabetes with TOPS – Great information for anyone with diabetes or pre-diabetes. *
Any other comments/questions/concerns?
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