Request for Materials
North Dakota Department of Health

ItemQuantityItemQuantity
Materials
After the Shots....What to do if your child has discomfortLifetime Immunization Record SFN 13895
NDDoH Schedule using PentacelBe Wise - Immunize! Children's Activity Book
NDDoH Schedule using PediarixCertificate of Immunization SFN 16038
Recommended Childhood Immunization Schedule (CDC)Health Record Folder
Screening Questionnaire for Child and Teen ImmunizationsVaccine Administration Record (2 Part) SFN 18385
Vaccine Adverse Events Reporting Form (VAERS)It's Their Turn fact sheet
VFC Stickers (3/4" round, sheet of 23)ND Teen HPV Brochure
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