Order Form
Immunization Materials for Child Care Programs
www.health.state.mn.us/divs/idepc/immunize/ordermat.html
Fax:
651-201-5501
Phone:
1-800-657-3970
651-201-5503
Mail:
Minnesota Department of Health
Immunization Program
P.O. Box 64975
St. Paul, MN 55164-0975
Agency
Street Address (No PO Boxes)
City
State
Phone
Contact
•
•
Zip
All materials are free of charge.
Most materials are available on the web at: www.health.state.mn.us/immunize
Quantity
Limit
10
Are Vaccines Safe? 18 pg booklet , National Network for Immunization Information
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
Somali ID# 52950
_
Hmong ID# 52948
_
Spanish ID# 53669
_
Russian ID# 52949
Vietnamese ID# 53412
Concerned About the Cost of Shots?, 11” x 17” poster, MDH
______ Spanish ID# 53229
_____ English ID# 53190
no limit
no limit
Healthy Kids Are Everybody's Job: Day Care Kids Need Their Shots, 17” x 22” poster, MDH
ID# 52784
100
Healthy Kids Are Everybody’s Job: A Guide to Minnesota’s Immunization Law for Child Care Providers
and Early Childhood Programs, 6 pg pamphlet, MDH
ID# 53358
100
Healthy Kids Are Everybody’s Job: A Guide to Minnesota’s Immunization Law for Parents with Children in
ID# 53267
Child Care and Early Childhood Programs, 4 pg pamphlet, MDH
Immunize for Life, 1 pg fact sheet, MDH
no limit
ID# 53520 (MDH, 3/16)
_____ English ID# 53469
______ Hmong ID# 53470
______ Russian ID# 52849
______ Somali ID# 52850
______ Spanish ID# 52851
______ Vietnamese ID# 53472
no limit
Order Form–Immunization Materials for Child Care Programs, 2 pgs, MDH
no limit
Reliable Sources of Immunization Information, 2 pg fact sheet, MDH
www.health.state.mn.us/divs/idepc/immunize/ordermat.html
www.health.state.mn.us/divs/idepc/immunize/safety/imminfo.html
ID# 53520
ID# 53905
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Order Form - Immunization Materials for Child Care Programs
Web-Only Immunization Materials for Child Care Programs
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
Child Care Immunization Form, MDH, 1 pg form for documenting immunizations in licensed child care facilities as required by
Minnesota law, MDH
www.health.state.mn.us/divs/idepc/immunize/laws/cclaw.html
Flu Symptom Screening Tool for Parents and Caregivers, 1 pg, MDH
Available in English, Hmong, Somali, Spanish.
Influenza (Flu) Information for Child Care Settings, 1 pg, MDH
www.health.state.mn.us/divs/idepc/diseases/flu/school/parentscreen.pdf
www.health.state.mn.us/divs/idepc/diseases/flu/childcare/fluchildcare.html
Influenza (Flu) Information for Parents, 2 pgs, MDH
www.health.state.mn.us/divs/idepc/diseases/flu/basics/fluparent.html
MIIC and Child Care Centers (DHS Rule 3), 1pg, MDH
www.health.state.mn.us/divs/idepc/immunize/registry/ccbasics.html
Thimerosal and Childhood Vaccines: What You Should Know, 2 pgs, MDH
Looking for Immunization Records?, 1 pg, MDH
www.health.state.mn.us/divs/idepc/immunize/hcp/thimerosalfs.html
www.health.state.mn.us/divs/idepc/immunize/registry/immrecords.html
What You Need to Know, 2-4 pg fact sheets, called Vaccine Information Statements, on each vaccine, CDC
Available in many languages
www.immunize.org/vis
Comments or
questions:
ID# 53520 (MDH, 3/16)
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