Immunization Resources

Use this form to order free immunization-related material from the Immunization Branch. Indicate the quantity of each item requested in the boxes below. For items that are available in packaged quantities, please indicate the number of packages you would like. If not marked, the materials are available on an individual basis.
 
If you do not want an item, just skip.  DO NOT PUT ZERO
 
Please bookmark this link for future materials order requests. 

Please allow 3-4 weeks for delivery. Thank you!

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* 1. Contact Information for Shipping

Clinical Resources

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* 2. Lifetime Immunization Record (DHHS 1065)  OUT OF STOCK
Available in packs of 100

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* 3. Adult Vaccine Administration Record (DHHS 4057) 
Available in packs of 100

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* 5. NCIR Chart Stickers

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* 6. Vaccine Administration Log (VAL 122)
Available in packs of 25

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* 7. Invincible Shot Dodger #17 Invincible - English

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* 8. Invincible - Spanish Invincible Shot Dodger #17

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* 9. Multitasker Shot Dodger #54 Multitasker - English

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* 10. Multitasker - Spanish Multitasker Shot Dodger #54

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* 11. Skeptic Shot Dodger #22 Skeptic - English

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* 12. Skeptic - Spanish Skeptic Shot Dodger #22

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* 13. Worrywart Shot Dodger #36 English Worrywart - English

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* 14. Worrywart - Spanish Worrywart Shot Dodger #36

Vaccine Ordering, Storage and Handling
Information for Parents

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* 16. Reminder Postcards for Infants
Available in packs of 100

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* 17. HALLMARK GREETING CARDS ENGLISH ONLY (Birthing Hospitals and Local Health Departments only!)

Resources for Schools

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* 18. Kindergarten Postcard  English
100 cards per pack

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* 19. Kindergarten Postcard Spanish 50 per pack

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* 20. Kindergarten FAQ Flyer English 100 per pack

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* 21. Kindergarten FAQ Flyer Spanish 50 per pack

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* 22. 7th Grade Postcard
50 per pack

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* 23. 7th Grade FAQ Flyer English 100 per pack

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* 24. 7th Grade FAQ Flyer Spanish 50 per pack

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* 25.  Measles Poster

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