Forms Order

Item	Quantity	Item	Quantity
Materials
After the Shots....What to do if your child has discomfort		Lifetime Immunization Record SFN 13895
NDDoH Schedule using Pentacel		Be Wise - Immunize! Children's Activity Book
NDDoH Schedule using Pediarix		Certificate of Immunization SFN 16038
Recommended Childhood Immunization Schedule (CDC)		Health Record Folder
Screening Questionnaire for Child and Teen Immunizations		Vaccine 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
Pneumococcal Pocket Guide		Zoster Pocket Guide
HPV Poster - Adolescent Boy		HPV Poster - Adolescent Girl