Immunization Resources

Frequent Resources

• Vaccine Information Statements
• Screening form with key
• Screen/Consent/Vaccine administration form
• Childhood Immunization Schedule
• Adult Immunization Schedule 

Reading Room

• MMWR standing orders/non-traditional providers
• CDC BBP post-exposure guidelines
• MMWR guidelines on "Cold-chain" for vaccines
• Quick reference for vaccine storage and vaccine manufacturers

Reimbursement

• Billing Medicare
• California Medicare Carrier
  
• Medicare Reimbursement Rates
• Influenza & Pneumococcal vaccination Roster Forms
  
• CMS 1500 Medicare Billing Form 
• Presentation on how to complete the CMS 1500
• Medicare Quick Links
  

Documents and Forms

• Physician notification of vaccination
• Protocol physician periodic notification
• Alternate site location form

Other Materials

• Post on your refrigerator/freezer!
• Quick guide to vaccine preparation
• Comprehensive adult immunization set-up guide from the Immunization Action Coalition
• Vaccine components: by vaccine and by excipient
• ACIP statements
• Pharmacy Influenza Posters in English and Spanish 

Emergency and Safety

• Anaphylaxis protocol
• Sharps Injury Log (for needlesticks)
• VAERS Report Form

Links

• National Immunization Program (Most Important!)
• Immunization Action Coalition
• CDC Flu Page
• Immunofacts
• California Immunization Branch

Immunization News

• APhA Immunization Page
• Immunization Action Coalition news
• National network immunization news

This creation of this toolkit was supported by Cooperative Agreement No. U66/CCU323243-01 from the Centers for Disease Control and Prevention (CDC). It’s contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC. All forms and documents not available from public internet sites were created by Dr. Jeff Goad in collaboration with CPhA for the purposes of the protocol established within the CDC Cooperative Agreement.