Primary Care Adult Immunization Practices In PA
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1. Primary Care Adult Immunization Practices In PA

Thank you for agreeing to answer a few questions about immunization. The survey will help to inform a collaborative project among the PAFP, the Pennsylvania Dept. of Health, and the Pennsylvania Pharmacists Association. The survey should just take a few minutes. Thank you!

1. Principal practice setting:

	Multi-specialty	Primary care
Hospital-based	*Principal practice setting: Hospital-based Multi-specialty	Hospital-based Primary care
Office-based	Office-based Multi-specialty	Office-based Primary care

Comments

2. Vaccines offered:

Vaccines offered: All ACIP recommended vaccines

Hep B

Influenza

Pneumococcal

MMR

Tdap

HPV

Varicella

Zoster

3. Frequency with which you review immunization history:

Frequency with which you review immunization history: Never or almost never

Less than half the time

About half of the time

More than half of the time

Always or almost always

Comments

4. Action taken when a patient is not up to date:

Action taken when a patient is not up to date: Notify patient during appointment and recommend missing vaccinations

Notify patient and recommend missing vaccinations

Refer to a pharmacist certified to give vaccinations

Refer to a public health site

Comments

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Primary Care Adult Immunization Practices In PAExit this survey

1. Primary Care Adult Immunization Practices In PA

1. Principal practice setting:

2. Vaccines offered:

3. Frequency with which you review immunization history:

4. Action taken when a patient is not up to date:

Primary Care Adult Immunization Practices In PA
Exit this survey