Immunization Program

Child Immunization Forms, Documents, and Resources

General Immunization Resources
State-Supplied Vaccines  
CDC Recommended Childhood Schedule 0 to 6 years | 7 to 18 years
Summary of Recommendations for Childhood Immunizations
It’s Federal Law (VISs)
Reliable Information Sources
Screening Questionnaire for Child and Adolescent Vaccination
Screening Questionnaire for Injectable Influenza Vaccine
Screening Questionnaire for Intranasal Influenza Vaccine

Resources for Vaccine Providers / State-Supplied Vaccine Forms
2007 SSV Agreement to Participate
Pediatric Vaccine Order Form
Spoiled/Expired Vaccine Report
Temperature Log - Celsius
Temperature Log - Fahrenheit
Vaccine Adverse Event Reporting Form
National Vaccine Injury Compensation Program
Should this child receive two doses of Influenza vaccine?

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Adolescent Immunization Forms, Documents, and Resources

General Immunization Resources
State-Supplied Vaccines 
CDC Recommended Adolescent Immunization Schedule
Summary of Recommendations for Adolescent Immunizations
Best Practices for Immunization Clinics
It’s Federal Law (VISs)
Reliable Sources of Information 
Screening Questionnaire for Child and Adolescent Vaccination
Screening Questionnaire for Injectable Influenza Vaccine
Screening Questionnaire for Intranasal Influenza Vaccine

Vaccinate Before you Graduate (VBYG)
VBYG Participating Schools List / Annual Report
Consent Form: English | Spanish
Parent Questionnaire: English | Spanish
Insurance Form: EnglishSpanish
HPV Consent Form: English
Flu Consent Form: English | Spanish

Resources for Vaccine Providers
Guide to Contraindications and Precautions to Commonly Used Vaccines
Temperature Log - Celsius
Temperature Log - Fahrenheit
Vaccine Adverse Event Reporting Form
National Vaccine Injury Compensation Program

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Adult Immunization Forms, Documents, and Resources

General Immunization Resources
RI Mass Immunizers
Recommended Adult Immunization Schedule
Summary of Recommendations for Adult Immunization
ACIP Guidelines for Adult Immunization
It’s Federal Law (VISs)
Screening Questionnaire for Adult Immunization
Screening Questionnaire for Injectable Influenza Vaccine
Screening Questionnaire for Intranasal Influenza Vaccine

Resources for Vaccine Providers
Sample Vaccine Consent Form
Vaccine Administration Record for Adults
Vaccine Order Report Form
Best Practices for Immunization Clinics
Healthcare Worker Regulations
Healthcare Personnel Vaccination Recommendations
How to Administer IM and SC Injections Administering Vaccines
Administering Vaccines: Dose, Route, Site, and Needle Size
Do You Vaccinate Adults? Think HALO!
Guide to Contraindications and Precautions to Commonly Used Vaccines
Reliable Sources of Immunization Information
Vaccine Adverse Event Reporting Form
National Vaccine Injury Compensation Program

Immunize For Life
Flu Materials Order Form

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