Education Materials Request

Susan G. Komen Kansas & Western Missouri is happy to provide community members with breast health information. For budgetary reasons, we would like to encourage you to download and print the forms linked below.

Forms to be uploaded.  Please check back soon.

If you are needing forms in hand please visit our KSWMO link on where you can purchase larger quantities.


We have event representatives available as well:

To request a representative to attend your upcoming Health Fair please complete the Health Fair request form.

For more information on the Educational Material please contact Carol at 316.683.8510 or