• Enlist your staff to assist in the process. When the nurse takes vital signs and records family history, he/she might leave a brochure about folic acid with the patient to read until your arrival. Upon your arrival, you can spend a minute discussing the importance of folic acid for a woman of reproductive age and follow the process suggested previously.
• Have brochures and posters in your office that present information about folic acid. In the office setting, it may be helpful to have a poster that suggests the importance of folic acid, or one that outlines the kinds of defects that could be possible in the event of a deficiency.
• Train your staff about the importance of folic acid, so that they can repeat the importance of your message. If you do not have the time during the office visit, be sure to have the nurse or attendant handling office paperwork discuss folic acid as the patient prepares to leave, or when she arrives for the appointment. By empowering your staff with information about folic acid and its importance, you will ensure that your patients get the message as well.
• If possible, pass out free samples of folic acid supplements.

While it may seem daunting to try to squeeze in folic acid counseling during the course of a hectic day, its reward may be priceless - a healthy baby.