REQUEST FORM
PPSV Vaccination Pocket Guides
 
We are sorry that we are "sold out" of our Influenza Vaccination Pocket Guides. If you would like to learn more about the project and print out a ready-to-print copy for your personal use, go to www.preventinfluenza.org/fluguide
Pneumococcal Polysaccharide (PPSV) Vaccination Pocket Guides are still available.

To order PPSV Guides, please fill out the form below.

The CDC's Advisory Committee on Immunization Practices (ACIP) continues to recommend vaccination against pneumococcal infections with either pneumococcal polysaccharide vaccine (PPSV) or, for children younger than 5 years, pneumococcal conjugate vaccine (PCV). Indications for each of these vaccines have not changed due to the current circulation of the 2009 H1N1 influenza virus; however, the risk of acquiring bacterial community-acquired pneumonia following influenza infection has been reported to be greater during pandemics. Healthcare providers should be alerted to this increased need to administer PPSV to all unvaccinated persons ages 65 years and older as well as younger persons with risk conditions.
The purpose of the pocket guide is to provide front-line healthcare personnel with information on:
indications and contraindications for PPSV

information on targeted populations to be vaccinated

details on how to administer the vaccine
talking points for patients
The pocket guides are NOT intended to be distributed to patients. They are for the use of healthcare professionals only. We will not accept orders for less than 100 copies as we have neither staff nor the funding to fill such orders.
PPSV pocket guides are available at no cost to your agency or organization. We encourage you to distribute the pocket guides to your members or constituents along with your encouragement to use the pocket guides to avoid missed opportunities.
PPSV Pocket Guides
The PPSV pocket guides are laminated for durability, printed in easy-to-spot lime green and black, and sized to fit in a shirt or lab coat pocket (3-3/4" x 6-3/4").
View the PPSV pocket guide
Request Form
If you would like to order a bulk number of free pocket guides, please fill out the online form below.
Pocket guides are available for distribution only within the U.S. and U.S. territories.
Items in red are required. You will be sent an email message containing a copy of the information you enter.

   
PPSV Pocket Guides
 
  Quantity of PPSV pocket guides:
(minimum 100)
 

If requesting PPSV pocket guides, please write
a sentence or two about how you will use them.
We MUST have this information:

   
Contact Information
  First Name:
  Last Name:
  Job Title:
  Email Address:
  Confirm Email Address:
  Organization:

  Address1:

  Address2:
  City:

  State:
  Zip:

  Phone:
     
  Shipping contact information (if different from above)
  Name:
  Email Address:
  Organization:
  Address1:

  Address2:
  City:

  State:
  Zip:

  Phone:
   


 
 
 
 
Internal use only