Order Form
Influenza Immunization Materials
www.health.state.mn.us/divs/idepc/immunize/ordermat.html
Mail:
Minnesota Department of Health
Immunization Program
P.O. Box 64975
St. Paul, MN 55164-0975
Please fax your order, if possible.
Fax:
651-201-5501
Phone:
1-800-657-3970
651-201-5503
Agency
Street Address (No PO Boxes)
•
•
City
State
Phone
Contact
Zip
All materials are free of charge; most are available on the web.
Subscribe to flu web updates. Go to www.mdhflu.com, click on For Health Professionals, and look for the small red
envelope.
Quantity
Limit
Fight the Flu, bookmark, MDH
www.health.state.mn.us/divs/idepc/diseases/flu/basics/fightflu/index.html
limit of
10 each
___ English ID# 52570
___ Hmong ID# 52571
___ Somali ID# 52676
___Spanish
ID# 52677
Also available on the web in Amharic, Arabic, Burmese, Chinese (Mandarin), Hindi, Karen, Khmer, Korean, Laotian, Nepali,
Oromo, Russian, Tagalog, Thai, and Vietnamese.
Fight the Flu, poster, 8 ½ ” x 11,” MDH
www.health.state.mn.us/divs/idepc/diseases/flu/basics/fightflu/index.html
no limit
___ English ID# 52472
Also available on the web in Amharic, Arabic, Burmese, Chinese (Mandarin), Hindi, Hmong, Karen, Khmer, Korean,
Laotian, Nepali, Oromo, Russian, Somali, Spanish, Tagalog, Thai, and Vietnamese.
(packs of
100)
no limit
Minnesota Immunization Record "Gold Card," wallet-sized card, MDH
no limit
Order Form – Influenza Immunization Materials, 2 pgs, MDH
no limit
Understanding Vaccines, 20-min DVD of an ECHO TV Program with segments on influenza,
ECHO/MDH
www.health.state.mn.us/divs/idepc/immunize/ordermat.html
Seven languages available on one DVD (English, Hmong, Khmer, Lao, Somali, Spanish, and Vietnamese)
www.echominnesota.org
ID# 53887
ID# 53665
ID# 52602
Comments?
www.mdhflu.com
ID# 53665 (MDH, 12/14)
Page 1 of 2
Web only
The following can be downloaded and printed from the website listed below the item.
ACIP Recommendations: Prevention and Control of Influenza; MMWR, August 15, 2014; CDC; 44 pgs
www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/flu.html#recs
Adult Vaccine Administration Record, form for mass vaccination clinics, MDH
Available in English, Somali, and Spanish.
www.health.state.mn.us/divs/idepc/immunize/hcp/vaccadmin.html
Cover Your Cough materials, MDH
www.health.state.mn.us/divs/idepc/dtopics/infectioncontrol/cover/index.html
Flu Symptom Screening Tool for Parents and Caregivers, MDH, 1 pg
Available in English, Hmong, Somali, Spanish.
www.health.state.mn.us/divs/idepc/diseases/flu/school/parentscreen.html
Hand hygiene materials, MDH
www.health.state.mn.us/handhygiene/index.html
Health care worker flu vaccination resources, MDH
www.health.state.mn.us/divs/idepc/diseases/flu/vaccine/vaxhcw/index.html
2014-15 Seasonal Influenza Vaccine Summary Chart, MDH, 1 pg
www.health.state.mn.us/divs/idepc/diseases/flu/vaccine/admin/index.html
Influenza (Flu) (basic fact sheet), MDH, 2 pgs
www.health.state.mn.us/divs/idepc/diseases/flu/basics/flufacts.html
Influenza (Flu) Information for Childcare Settings, MDH, 1 pg
www.health.state.mn.us/divs/idepc/diseases/flu/childcare/fluchildcare.html
Influenza (Flu) Information for Parents, MDH, 2 pgs
www.health.state.mn.us/divs/idepc/diseases/flu/basics/fluparent.html
Influenza Information for School Health Personnel, MDH web page
www.health.state.mn.us/divs/idepc/diseases/flu/school/index.html
Influenza in Schools, MDH, 1 pg fact sheet
www.health.state.mn.us/divs/idepc/diseases/flu/school/fluschools.html
Influenza-like Illness Report Form, Minnesota Schools 2014-15, MDH, 1 pg
www.health.state.mn.us/divs/idepc/diseases/flu/school/index.html
Minnesota Fall Flu Guide 2014-15 (aka the “flu plan”), MDH, 8 pgs
www.health.state.mn.us/divs/idepc/diseases/flu/vaccine/index.html
Pediatric Vaccine Administration Record, form for mass vaccination clinics, MDH
Available in English, Somali, and Spanish
www.health.state.mn.us/divs/idepc/immunize/hcp/vaccadmin.html
Pregnant? Get a Flu Shot, MDH, 2 pgs
www.health.state.mn.us/divs/idepc/diseases/flu/basics/flupregnant.html
Proper Storage, Handling, and Shipping of Influenza Vaccine, MDH, 2 pgs
www.health.state.mn.us/divs/idepc/diseases/flu/hcp/vaccine/sh/storage.html
Thimerosal and Childhood Vaccines: What You Should Know, MDH, 2 pgs
www.health.state.mn.us/divs/idepc/immunize/hcp/thimerosalfs.html
VISs (Vaccine Information Statements), CDC, translated versions are also available on the web
www.immunize.org/vis
www.mdhflu.com
ID# 53665 (MDH, 12/14)
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