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Here is an electronic checklist of free ParaGard® materials available by mail. Simply click on the box next to each item you wish to receive, fill in your contact information at the bottom, and click SUBMIT.
Your order will be mailed to you promptly.

For downloadable ParaGard® resources in PDF format, click here.

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* First Name:
  Middle Name:
* Last Name:
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* Street Address:
  Street Address 2:
* City:
* State:
* Zip Code:
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* Practitioner's Specialty:
* Practitioner's Designation:


Please send me the following insertion training support materials:
Insertion Training and Patient Counseling DVD
Insertion Counseling Kit
Insertion Tent Card (step-by-step instructions)

Please send me the following patient education materials:
Patient Education DVD
Patient Information Tear Pad (in English)
Patient Information Tear Pad (in Spanish)
Patient Education Brochure (in English)
Patient Education Brochure (in Spanish)
Patient Payment Plan Tear Pad (in English)
Patient Payment Plan Tear Pad (in Spanish)
Patient Counseling Brochure (in English)

Please send me the following support materials for my staff:
Reimbursement Checklist
Patient Assistance Program Brochure

To request that a Duramed Sales Representative contact you, click here.

I understand that by completing this registration form, I am providing information that may be deemed personally identifiable information. I authorize Duramed Pharmaceuticals, Inc. to disclose my personally identifiable information to its affiliated companies and contractors, including Barr Laboratories, Inc. (collectively, "Affiliates and Contractors"), on a need-to-know basis for purposes of administering programs related to ParaGard®. I understand that Duramed and its Affiliates and Contractors value their customers' privacy. As such, Duramed and its Affiliates and Contractors will take reasonable and appropriate measures to protect the information provided on this form from inappropriate disclosure. However, I also understand that this authorization permits Duramed and its Affiliates and Contractors to share my personally identifiable information with other individuals/entities that may not be bound ethically or by any privacy laws and that, once in their possession, my information could be used or re-disclosed for any purpose.

I understand that I may revoke this authorization, in writing, at any time by clicking here,
or mailing to: ParaGard® Marketing Team, 225 Summit Avenue, Montvale, NJ 07645.
I understand that only an electronic revocation will constitute an effective withdrawal of my authorization, and that any such revocation will not be effective with respect to disclosures made by Duramed or its Affiliates or Contractors prior to receipt of the revocation by Duramed.

I have read and agree to the ParaGard® Terms of Use and ParaGard® Privacy Policy.

ParaGard® does not protect against HIV/AIDS or other sexually transmitted infections. ParaGard® must not be used by women who are or may be pregnant; have acute pelvic inflammatory disease (PID) or current behavior suggesting a high risk for PID; have had a postpregnancy or postabortion uterine infection in the past 3 months; have cancer of the uterus or cervix; have an infection in the cervix; have an allergy to any component; or have Wilson's disease. The most common side effects of ParaGard® are heavier and longer periods and spotting between periods; for most women, these typically subside after 2 to 3 months. If a woman misses her period, she must be promptly evaluated for pregnancy. Some possible serious complications that have been associated with intrauterine contraceptives, including ParaGard®, are PID, perforation of the uterus, and expulsion.