Immunization Program

Forms Order

Item	Quantity	Item	Quantity
Materials
After the Shots....What to do if your child has discomfort		Adolescent Reminder/Recall Postcard
Be Wise - Immunize! Children's Activity Book		Certificate of Immunization SFN 16038
HPV Poster - Adolescent Boy		HPV Poster - Adolescent Girl
Influenza Vaccine - Kids (8x14)		Influenza Vaccine - Kids (11x17)
Influenza Vaccine - Older Individual (8x14)		Influenza Vaccine - Older Individual (11x17)
Influenza Vaccine - Pregnant Women (8x14)		Influenza Vaccine - Pregnant Women (11x17)
Influenza Vaccine - Young Adult (8x14)		Influenza Vaccine - Young Adult (11x17)
Lifetime Immunization Record SFN 13895		NDDoH Schedule using Pentacel
NDDoH Schedule using Pediarix		ND Teen HPV Brochure
Pneumococcal Vaccine Timing for Adults		Recommended Adult Immunization Schedule (CDC)
Recommended Childhood Immunization Schedule (CDC)		Take Three Actions to Fight the Flu Brochure
Vaccine Administration Record (2 Part) SFN 18385		VFC Stickers (3/4" round, sheet of 23)
Ready Wrigley Influenza Coloring Book		Six Reasons to Get HPV Vaccine for Your Child