Order Form
Immunization Materials Useful for WIC
www.health.state.mn.us/divs/idepc/immunize/ordermat.html
Fax:
Mail:
651-201-5501
Phone:
1-800-657-3970
651-201-5503
Minnesota Department of Health
Immunization Program
P.O. Box 64975
St. Paul, MN 55164-0975
Agency
Address (No PO Boxes)
•
•
City
State
Phone
Contact
Zip
All materials are free of charge.
Many of these materials are available on the web at: www.health.state.mn.us/immunize.
Quantity
Limit
10
Are Vaccines Safe?, National Network for Immunization Information, 18 pg booklet
ID# 53278
Are Your Kids Ready and When to get Vaccines, MDH, 2 pg flyer on immunizations needed by age
and for enrolling in childcare, early childhood programs, and school in Minnesota.
www.health.state.mn.us/divs/idepc/immunize/schedules.html
No limit
______ English ID# 52799
Hmong ID# 52948
Somali ID# 52950
_
Spanish ID# 53669
_
_
Russian ID# 52949
Vietnamese ID# 53412
Be There for Your Child During Shots, MDH, 1 pg
no limit
______ English ID# 53166
______ Somali ID# 53117
______ Spanish ID# 53105
Concerned About the Cost of Shots? MDH, 11” x 17” poster
no limit
_____ English ID# 53190
100
______ Spanish ID# 53229
Healthy Kids Are Everybody’s Job: A Guide to Minnesota’s Immunization Law for Parents with Children in
Child Care and Early Childhood Programs, MDH, 4 pg pamphlet
www.health.state.mn.us/divs/idepc/immunize/healthykidspar.html
20
ID# 53267
Hepatitis B and Mom's-to-Be, Asian Liver Center brochure
liver.stanford.edu/Public/brochures.html
ID# 53277
Immunize for Life, MDH, 1 pg
no limit
(packs of 100)
______ English ID# 53469
______ Hmong ID# 53470
______ Russian ID# 52849
______ Somali ID# 52850
______ Spanish ID# 52851
______ Vietnamese ID# 52849
no
limit
Minnesota Immunization Record "Gold Card," MDH, wallet-sized card
no
limit
Order Form – Immunization Materials Useful for WIC, MDH 2 pgs
no
limit
Reliable Sources of Immunization Information, MDH, 2 pgs
ID# 53519 (MDH, 3/16)
www.health.state.mn.us/divs/idepc/immunize/ordermat.html
www.health.state.mn.us/divs/idepc/immunize/safety/imminfo.html
ID# 53887
ID# 53519
ID# 53905
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Order Form –Immunization Materials Useful for WIC
Web-Only Immunization Materials Useful for WIC
You can download and print these items from the website listed below them.
Can My Child Get Free or Low Cost Shots?, 1 pg self-screening form for Vaccines for Children program, MDH
www.health.state.mn.us/divs/idepc/immunize/howpay.html
Hepatitis B Information for Pregnant Women, MDH, 2 pgs
Looking for Immunization Records, MDH, 1 pg fact sheet
www.health.state.mn.us/divs/idepc/diseases/hepb/preg.html
www.health.state.mn.us/divs/idepc/immunize/registry/immrecords.html
Comments or
questions:
ID# 53519 (MDH, 3/16)
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