| Administration |
English |
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|---|
| Adult Vaccination Record (For patient chart) |
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| Hospital Vaccine Administration Record (4-part form) |
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| Health and Safety Record Books (order in increments of 25) |
Temporarily Unavailable
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| Patient Vaccine Administration Records (yellow chart) |
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| Vaccine Information Statements (VIS) |
English |
Spanish |
|---|
| Chickenpox Vaccine (Varicella) |
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| Diphtheria, Tetanus, & Pertussis Vaccine |
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| Haemophilus Influenza Type B (Hib) |
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| Hepatitis A Vaccine |
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| Hepatitis B Vaccine |
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| Human Papilloma Virus Vaccine |
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| Influenza Vaccine, Inactivated (Injectable) |
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| Influenza Vaccine, Live, Attenuated (Nasal sprayer) |
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| Measles, Mumps & Rubella Vaccine |
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| Meningococcal Vaccine |
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| Pneumococcal Conjugate Vaccine (PCV) |
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| Pneumococcal Polysaccharide Vaccine (PPSV) |
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| Polio Vaccine |
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| Rotavirus Vaccine |
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| Tetanus, Diphtheria & Pertussis Vaccine (Tdap) , Tetanus & Diphtheria Vaccine (Td) |
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| Your Baby's First Vaccines - Multi-Vaccine Information Statement (VIS) |
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| Posters |
English |
Spanish |
|---|
| Flu vaccination - First Responders (protect your patients)
view |
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| Flu vaccination - First Responders (protect your family)
view |
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| Flu vaccination - asthma and diabetes
view |
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| Flu vaccination - children
view |
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| Flu vaccination - young adults
view |
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| Flu vaccination - pregnant women
view |
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| Flu vaccination - senior citizens
view |
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| Other |
English |
Spanish |
|---|
| Flu Postcard - Flu vaccination reminder for seniors (card) view |
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| Flu Postcard - Flu vaccination reminder for new mothers (card) view |
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| Protect Your Baby by Protecting Yourself - Tdap (placemats) view |
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| Got Yours? Pregnant Women and the Flu (placemats) view |
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| Protect You Baby Against Hepatitis B(placemats) view |
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| Pertussis Wallet Card - Protect the Newborn in your Family |
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School Immunization Exemption Forms |
English |
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| Immunization Exemption Log Sheet |
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| Medical Exemption Form |
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| Religious Exemption Form |
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| Temporary Exemption Form |
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