Order Form
Immunization Materials for Use with the Public
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 are on the web; some are only available on the web (see pages 3-5).
For immunization materials for professionals, see the MDH Order Form – Immunization Materials for Professional Use,
www.health.state.mn.us/divs/idepc/immunize/ordermat.html.
Child/Adolescent/Adult Immunizations
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
child care, 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
Be There for Your Child During Shots, MDH, 1 pg
No limit
______ English ID# 53166
______ Somali ID# 53117
______ Spanish ID# 53105
______ English ID# 53469
______ Hmong ID# 53470
______ Russian ID# 52849
______ Somali ID# 52850
______ Spanish ID# 52851
______ Vietnamese ID# 52849
Immunize for Life, MDH, 1 pg
No limit
no limit
Keep Them Safe! Vaccinate, MDH, brochure on immunizations for parents of newborns
no limit
Teens Need Shots, Too!, MDH, 1 pg
no limit
Adults Need Vaccines Too!, MDH, flyer on immunizations for adults
______ English ID# 53365
______ Somali ID# 53395
______ Spanish ID# 53396
www.health.state.mn.us/divs/idepc/immunize/adol/index.html
www.health.state.mn.us/divs/idepc/immunize/adult/adultsneed.html
ID# 53757
ID# 53414
Child Care
100
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
no limit
ID# 53664 (MDH, 3/17)
Healthy Kids Are Everybody's Job: Day Care Kids Need Their Shots, MDH, 17" x 22" poster
ID# 53267
ID# 52784
Page 1 of 5
Order Form - Immunization Materials for Use with the Public
Hepatitis B
www.health.state.mn.us/hepatitis
limit 20
Hepatitis B and Mom's-to-Be, Asian Liver Center brochure
liver.stanford.edu/Public/brochures.html
Keeping Track of Immunizations
(packs of 100)
ID# 53277
www.health.state.mn.us/divs/idepc/immunize/registry/basics.html
no limit
Keeping Track of Vaccinations is Easier with MIIC, MDH, poster
ID# 53940
no limit
Minnesota Immunization Record "Gold Card," MDH, wallet-sized card
ID# 53887
Limit 5
What Is MIIC? MDH, Easel
(See “What is MIIC” tear-off tear off sheets that go with this easel)
ID# 53462
What Is MIIC?, MDH, Pad of 25 tear-off sheets
no limit
(See “What is MIIC” for easel that goes with these tear-off sheets.)
______ English ID# 52524
______ Spanish ID# 53153
Immunizations, General
www.health.state.mn.us/immunize
no limit
Reliable Sources of Immunization Information, MDH, 2 pgs
www.health.state.mn.us/divs/idepc/immunize/safety/imminfo.html
ID# 53905
Limit 5
My chickenpox vaccine protects, MDH poster, 24” x 12”
ID# 52653
Limit 5
My whooping cough vaccine protects, MDH poster, 24” x 12”
ID# 52693
Limit 5
Protect those you love. Immunize. (Pregnant woman), MDH poster, 24” x 12”
ID# 53532
Limit 5
My influenza vaccine protects, MDH poster, 24” x 12”
ID# 52692
Limit 5
Protect those you love. (Grandma), MDH poster, 24” x 12”
ID# 52694
no limit
My chickenpox vaccine protects, MDH bookmark, 2.25” x 8.5”
ID# 56628
no limit
My whooping cough vaccine protects, MDH bookmark, 2.25” x 8.5”
ID# 56630
no limit
Protect those you love. Immunize. (Pregnant woman), MDH bookmark, 2.25” x 8.5”
ID# 56632
no limit
My influenza vaccine protects, MDH bookmark, 2.25” x 8.5”
ID# 56629
no limit
Protect those you love. (Grandma), MDH bookmark, 2.25” x 8.5”
ID# 56631
Influenza (also watch for an Influenza Materials Order Form each fall)
www.mdhflu.com
Fight the Flu, MDH bookmark
www.health.state.mn.us/divs/idepc/diseases/flu/basics/fightflu/index.html
no limit
______ 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, MDH poster/flyer, 8 ½ ” x 11”
no limit
no limit
www.health.state.mn.us/divs/idepc/diseases/flu/basics/fightflu/index.html
MnVFC (Minnesota Vaccines for Children)
ID# 53664 (MDH, 3/17)
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.
www.health.state.mn.us/vfc
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Order Form - Immunization Materials for Use with the Public
Ask About Free or Low Cost Shots, MDH, table tent with simple message in six languages (English, Hmong, Russian,
no limit Somali, Spanish, Vietnamese)
www.health.state.mn.us/divs/idepc/immunize/mnvfc/promomat.html
no limit
ID# 53527
Concerned About the Cost of Shots? MDH, 11” x 17” poster
_____ English ID# 53190
______ Spanish ID# 53229
Order Forms for Immunization Materials
www.health.state.mn.us/divs/idepc/immunize/ordermat.html
_____ Immunization Materials for Professional Use ID# 52628
_____ Immunization Materials for Use with the Public ID# 53664
_____ Immunization Materials for Child Care Programs ID# 53520
_____ Influenza Immunization Materials ID# 53665
no limit
_____ Immunization Materials in Languages Other Than English ID# 53663
_____ MnVFC Promotional Materials ID# 52550
_____ Immunization Materials for Parents of Newborns ID# 53666
_____ Perinatal Hepatitis B Materials ID# 53425
_____ School Immunization Materials ID# 53426
_____ Immunization Materials Useful for WIC ID# 53519
Comments or
questions:
ID# 53664 (MDH, 3/17)
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Order Form - Immunization Materials for Use with the Public
Web-Only Immunization Materials for the Use with the Public
You can download and print these items from the website listed below them.
Adult Immunizations
Vaccinations for Adults: You're Never Too Old to Get Immunized, Immunization Action Coalition, 1 pg
www.immunize.org/handouts/adult-vaccination.asp
Tdap Vaccine for Pregnant Women, MDH, 1 pg
www.health.state.mn.us/divs/idepc/immunize/adult/tdappregnant.html
Child/Adolescent Immunizations
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 form
www.health.state.mn.us/divs/idepc/immunize/laws/cclaw.html
Early Childhood Immunization Form, MDH form
www.health.state.mn.us/divs/idepc/immunize/laws/ecplaw.html
Student Immunization Form, MDH form
www.health.state.mn.us/divs/idepc/immunize/laws/schlaw.html
Meningococcal Vaccine: Why Preteens and Teens Should Get It, MDH, 1 pg
www.health.state.mn.us/divs/idepc/diseases/meningococcal/meningpreteen.html
Pertussis and School Age Children: What Parents Need to Know, MDH, 1 pg
Available in English, Hmong, Russian, Somali, and Spanish
Tdap Vaccine: What Teens Need to Know, MDH, 1 pg
Thimerosal and Childhood Vaccines: What You Should Know, MDH, 2 pgs
www.health.state.mn.us/divs/idepc/diseases/pertussis/pertparents.html
www.health.state.mn.us/divs/idepc/diseases/pertussis/tdapfsteens.html
www.health.state.mn.us/divs/idepc/immunize/hcp/thimerosalfs.html
College Immunizations
Immunization Record for Students Attending Post-Secondary Schools in MN, MDH form
www.health.state.mn.us/divs/idepc/immunize/laws/postseclaw.html
Meningococcal Disease and the Vaccine: What College Students Need to Know, MDH, 1 pg
www.health.state.mn.us/divs/idepc/diseases/meningococcal/collegefact.html
Minnesota's College Immunization Law, MDH, 2 pgs
Immunization, General
www.health.state.mn.us/immunize
Chickenpox (Varicella), MDH, 2 pgs
Hepatitis A, MDH, 2 pgs
Hepatitis B Information for Pregnant Women, MDH, 2 pgs
HPV: Also known as Human Papillomavirus, CDC, 2 pgs
Measles (Rubeola), MDH, 2 pgs
Mumps, MDH, 1 pg
Parapertussis, MDH, 1 pg
ID# 53664 (MDH, 3/17)
www.health.state.mn.us/divs/idepc/immunize/laws/collegelaw.html
www.health.state.mn.us/divs/idepc/diseases/varicella/chknpxfacts.html
www.health.state.mn.us/divs/idepc/diseases/hepa/hepafacts.html
www.health.state.mn.us/divs/idepc/diseases/hepb/preg.html
www.health.state.mn.us/divs/idepc/dtopics/vpds/hpv/index.html
www.health.state.mn.us/divs/idepc/diseases/measles/measlesfacts.html
www.health.state.mn.us/divs/idepc/diseases/mumps/mumpsfacts.html
www.health.state.mn.us/divs/idepc/diseases/pertussis/parapertussis.html
Page 4 of 5
Order Form - Immunization Materials for Use with the Public
Pertussis (Whooping Cough) , MDH, 2 pgs
www.health.state.mn.us/divs/idepc/diseases/pertussis/pfacts.html
Polio, MDH, 1 pg
Rubella (German Measles), MDH, 1 pg
Tetanus (Lockjaw), MDH, 1 pg
Looking for Immunization Records, MDH, 1 pg
Thimerosal Content in Vaccines, MDH, 1 pg
www.health.state.mn.us/divs/idepc/diseases/polio/poliofacts.html
www.health.state.mn.us/divs/idepc/diseases/rubella/rubellafacts.html
www.health.state.mn.us/divs/idepc/diseases/tetanus/tetanusfacts.html
www.health.state.mn.us/divs/idepc/immunize/registry/immrecords.html
www.health.state.mn.us/divs/idepc/immunize/safety/thimerosal.html
Influenza (Watch for an Influenza Materials Order Form each fall at mdhflu.com)
Travel Shots
Vaccines for the International Traveler / Plan Ahead for Your Travel Shots/, MDH, 2 pgs
www.health.state.mn.us/divs/idepc/immunize/travel/travelshots.html
VISs (Vaccine Information Statements)
VISs (Vaccine Information Statements): What You Need to Know, CDC, 2-4 pg fact sheets on each vaccine; available on the web in many
www.immunize.org/vis
languages
ID# 53664 (MDH, 3/17)
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