Screening Questionnaires Educational Print Materials


Administering Vaccines	Schedules for Patients	Talking with Parents

Documenting Vaccination	Screening Questionnaires	Vaccine Q&As

Handling & Storage	Standing Orders

Recommendations	Supplies Checklist

Screening Questionnaires

Do I need any vaccinations today?

Two-page screening questionnaire for adult patients to find out about what shots they need [#P4036]

Screening questionnaire for adult immunization

Form your patients fill out to help you evaluate which vaccines can be given at that day's visit, includes information sheet for professionals [#P4065]

Screening questionnaire for child and teen immunization

Form your patients fill out to help you evaluate which vaccines can be given at that day's visit, includes information sheet for professionals [#P4060]

Screening questionnaire for injectable influenza vaccination

Form your patients fill out to help you evaluate if influenza vaccine can be given at that day's visit, includes information sheet for professionals [#P4066]

Translation: Spanish

Screening questionnaire for intranasal influenza vaccination

Form your patients fill out to help you evaluate if influenza vaccine can be given at that day's visit, includes information sheet for professionals [#P4067]

Translation: Spanish

Should you be vaccinated against hepatitis A? (for adults)

Use this questionnaire to assess your patients' risk factors [#P2190]

Translations: Spanish

Should you be vaccinated against hepatitis B? (for adults)

Use this questionnaire to assess your patients' risk factors [#P2191]

Translations: Spanish

Should you be tested for hepatitis C? (for adults)

Use this questionnaire to assess your patients' risk factors [#P2192]

Translations: Spanish

This page was updated on August 19, 2009