Record of Vaccine Declination
This form provides documentation of parental refusal to vaccinate
#P4059
Updated on:
4/17/23
Language:
English
Clinical Resources: Documenting Vaccination
Results (13)
Notification of Immunization Letter Template
Form letter to primary care clinic
#P3060
Updated on:
9/14/23
Language:
English
Tips for Locating Old Immunization Records
This handout gives some ideas that might help for locating old immunization records
Dates of Current Vaccine Information Statements (VISs)
Print and cut out up to four charts (4″ x 5.5″) of current VIS dates for posting around the clinic and workplace.
#P2029
Updated on:
10/19/23
Language:
English
You Must Provide Patients with Vaccine Information Statements (VISs)—It’s Federal Law!
Everything you need to know about vaccine information statements.
#P2027
Updated on:
10/19/23
Language:
English
Key Vaccination Resources for Healthcare Professionals
Annotated list of key training, education, and reference materials for people who vaccinate or oversee vaccination clinics.
#P2005
Updated on:
11/1/22
Language:
English
Tips for Locating Old Immunization Records — Spanish
This handout gives some ideas that might help for locating old immunization records
#P3065-01
Updated on:
4/27/23
Language:
Spanish
Sample Vaccine Policy Statement
This vaccine policy statement is for providers to give to patients and parents
#P2067
Updated on:
8/1/16
Language:
English
Labor & Delivery HBsAg Admission Checklist for Birthing Mother
This checklist is for labor and delivery HBsAg admission for the birthing mother
#P2225
Updated on:
7/10/23
Language:
English
Vaccine Administration Record for Adults
Document vaccinations using this handy form and put it in the front of each patient’s medical chart
#P2023
Updated on:
9/18/23
Language:
English
Declination of Influenza Vaccination
Form for healthcare worker signature and date, lists important reasons for annual influenza vaccination and consequences of vaccine refusal
#P4068
Updated on:
8/31/23
Language:
English
Quick Chart of Vaccine-Preventable Disease Terms in Multiple Languages
Two-page table displays most of the vaccine-preventable disease terms in 16 languages
#P5122
Updated on:
5/1/22
Language:
English
Vaccine Administration Record for Children and Teens
Document vaccinations using this handy form and put it in the front of each patient’s medical chart.
#P2022
Updated on:
9/18/23
Language:
English
Partner Resources
Centers for Disease Control & Prevention
CDC’s main source of information for ACIP recommendations.
CDC responds to common concerns when vaccinating persons of various ages.
Education and training from CDC for healthcare professionals, including continuing education.
CDC's Pink Book provides comprehensive information on routinely used vaccines and the diseases they prevent.
CDC provides information about common concerns for the timing and spacing of immunobiologics.
CDC's Pink Book provides comprehensive information on routinely used vaccines and the diseases they prevent.
Department of Health & Human Services
From the National Vaccine Advisory Committee (NVAC)