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Home»Bureau of Immunization & TB»Immunization Program»Immunization Materials Order Form

Immunization Materials Order Form

The Iowa HHS Public Health Immunization Program offers free print products to assist you in education of parents, providers, and general public on immunization issues.

Please complete the ordering amounts and shipping information on this page and products will be sent directly to you. Click on the topic area headings below to expand the list of available products for that section.

If you have questions about the products on this page please call the Immunization Program at 1-800-831-6293.

Note: You must select a quantity in the dropdown for each of the materials you are requesting. 

Immunization Cards and Certificates

This certificate is the official Certificate of Immunization required for children entering licensed child care and school.

 

This certificate is the official Provisional Certificate of Immunization to be used when a child has begun but not completed the vaccines required for entry into licensed child care and/or school.

 

Medical Exemption (White 8½ X 11) Cardstock

This certificate is the official Certificate of Immunization Exemption for medical reasons for children entering licensed child care and/or school.

 

This certificate is the official Certificate of Immunization Exemption for religious reasons for children entering licensed child care and/or school.

 

This small card is designed for parents to record their child's immunizations for future reference. It is not an official Certificate of Immunization.

 

Master Index Card (White 8½ X 11)

This index card is designed for health care providers to maintain information regarding immunizations. It is not an official Certificate of Immunization.

 

Adult immunization Record (Ivory 6 3/8 X 3 3/8)

This small folded card will fit in a standard wallet and is designed for adults to record their immunizations for future reference. It is not an official Certificate of Immunization.

 

Brochures & Pamphlets

This folded 3¾ x 8½ brochure outlines HPV, HPV vaccine information and recommendations. It is recommended for health care providers and general public use. 

 

This one page resource is used to find effective ways to answer the questions that parents have about HPV vaccination.

 

This folded 3¾ x 8½ brochure outlines the recommended childhood immunizations. It is recommended for general public use. 
 

This folded 3¾ x 8½ brochure outlines the recommended adolescent immunizations. It is recommended for general public use.

 

This folded 3¾ x 8½ brochure outlines the recommended adult immunizations. It is recommended for general public use.

 

This folded 3¾ x 8½ brochure outlines influenza immunization recommendations for all ages. It is recommended for general public use.

 

This folded 3¾ x 8½ brochure outlines Iowa Immunization Law including the required immunizations for entry into licensed child care and/or school and the types of immunization certificates available in Iowa. It is recommended for general public use.

 

This folded 3¾ x 8½ brochure outlines the recommendations for hepatitis B vaccination for children. It is recommended for general public use. 

 

Brochures & Pamphlets - Spanish

This folded 3¾ x 8½ brochure outlines HPV, HPV vaccine information and recommendations. It is recommended for health care providers and general public use.

 

This folded 3¾ x 8½ brochure outlines the recommended childhood immunizations. It is recommended for general public use.

 

This folded 3¾ x 8½ brochure outlines the recommended adolescent immunizations. It is recommended for general public use.

 

This folded 3¾ x 8½ brochure outlines the recommended adult immunizations. It is recommended for general public use.

 

This folded 3¾ x 8½ brochure outlines influenza immunization recommendations for all ages. It is recommended for general public use.

 

This folded 3¾ x 8½ brochure outlines Iowa Immunization Law including the required immunizations for entry into licensed child care and/or school and the types of immunization certificates available in Iowa. It is recommended for general public use. 

 

This folded 3¾ x 8½ brochure outlines the recommendations for hepatitis B vaccination for children. It is recommended for general public use. 

 

Posters

This 8.5 x 11 poster features the "HPV Vaccine is the Key" campaign theme with infographics regarding HPV vaccination. The poster is recommended for health care providers and general public use. Room was left at the bottom of the poster for health care providers to add contact information.

 

This 8.5 x 11 poster features the "HPV Vaccine is the Key" campaign theme with infographics regarding HPV vaccination. The poster is recommended for health care providers and general public use. Room was left at the bottom of the poster for health care providers to add contact information.

 

This 11x17 poster features the "HPV Vaccine is the Key" campaign theme with infographics regarding HPV vaccination. The poster is recommended for health care providers and general public use. Room was left at the bottom of the poster for health care providers to add contact information.

 

 

 

 

 

 

 

 

Bookmarks

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Vaccines for Children
IDPH 814

This 8½x11 form is used to screen children for eligibility in the VFC program. It is intended for use in a public clinic setting.

 

This 8½x11 form is used to screen children for eligibility in the VFC program. It is intended for use in a public clinic setting.

 

This 8½x11 temperature log is designed to chart one month of refrigerator temperatures in Fahrenheit. It is designed for use for any setting that is storing vaccine.

 

This 8½x11 temperature log is designed to chart one month of freezer temperatures in Fahrenheit. It is designed for use for any setting that is storing vaccine.

 

This 8½x11 temperature log is designed to chart one month of refrigerator temperatures in Celsius. It is designed for use for any setting that is storing vaccine.

 

This 8½x11 temperature log is designed to chart one month of freezer temperatures in Celsius. It is designed for use for any setting that is storing vaccine.

 

IRIS

This 8½x11 cardstock sheet has four perforated postcards on each sheet. It is designed to be used by clinics that are using IRIS to print out reminder/recall postcards for clients. PLEASE NOTE: The order quantity represents the number of postcard sheets ordered. Each sheet has four postcards. An order of 25 equates to 100 cards.

 

Shipping Information
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