DSHS Immunization Publications Online Order Form

1. Recipient Shipping Information

* = Required fields

Please use care as the shipping labels will contain exactly what you type into the cells. Double check your physical address and zip code to prevent costly returns. Thank You!

Order Date:

First Name:*

Last Name:*

Organization:*

Shipping Address 1:* (Can not ship to a PO BOX)

Shipping Address 2:

City:*

State:*

Zip Code:*

Phone:*

Method of Shipment:*

Your Account Number:

NOTE: Your account number must be entered if you do not choose Fed Exp Ground. Leave this field blank for Fed Exp Ground.

Please allow 7 to 10 business days for delivery of all orders from DSHS Immunization's Warehouse.

2. Publication Order Information

Note: Please order from Immunization Unit-Literature and Forms once a month and only order up to the quantity limits. Thank you for your cooperation. Contact Clara Taylor at clara.taylor@dshs.texas.gov to inquire about ordering quantities of materials larger than the stated limits.

CNA = Currently Not Available

Available Online Only = Out of stock - Product is available as PDF for download and for customers to make copies to distribute while out of stock.

Note: May 1, 2006, the Texas Department of State Health Services, Immunization Unit, Literature and Forms no longer accepts back orders for publications currently not available due to revisions/replenishments. Please check with the Immunization Unit, Literature and Forms at (800) 252-9152 extension 6530 on the availability of publications not available.

Publication Stock #	Publication Title	Revision Date	Notes	Quantity
6-14	Texas Minimum-State-Requirements-for-Students-K-12(PDF)	03/2019	Valid for School Year 2019-2020 8.5" x 11.0" 4pp.	Maximum Limit: 5000
6-15	Minimum State Vaccine Requirements for Texas Child-Care Facilities - Bilingual (PDF)	03/2019	Valid for School Year 2019-2020 8.5" x 11.0" 4pp.	Maximum Limit: 5000
6-26P	Recommendation for Handling & Storage of Selected Biologicals-Poster - English (PDF)	07/2019	17.0" X 33.5"Poster	Maximum Limit: 15
6-27P	"How to Administer Injections" Poster - Bilingual (PDF)	09/2007	13″ × 27″ Poster	Available Online Only
6-30	Communicable Disease Chart & Notes for Schools & Child Care Center Poster - English (PDF)	03/2013	22″ × 30″ Poster	Maximum Limit: 100
6-36	Fee for Vaccine Administration Poster - English (PDF)	03/2019	17 ~ 22 Poster	Maximum Limit: 10
6-61	Contraindications and Precautions-Poster - English (PDF)	03/2019	19 ~ 27 Poster	Maximum Limit: 15
6-102	Texas Vaccines For Children Physician Recruitment Packet - English (PDF)	01/2017	Please contact your Health Service Region (HSR) representative to obtain a copy or download from the TVFC website.	Available Online Only
6-104	Recommended Adult Immunization Schedule for Ages 19 or older - English (PDF)	0219	Recommended Adult immunization schdl-19 or older United States_2019-English	Maximum Limit: 100
6-104L	Recommended Immunization Schedule for Adults Aged 19 Years or Older, United States, 2019, Laminated - English	01/2019	11" X 8.5", 6 pp.	Maximum Limit: 100
6-105	Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger, United States, 2019- English	02/2019	11" x 8.5", 8 pp.	Maximum Limit: 100
6-105L	Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger, United States, 2019, Laminated - English	02/2019	11" x 8.5", 8 pp.	Maximum Limit: 100
6-180	Refrigerator Warning Signs for Vaccine Storage - Bilingual (PDF)	06/2019	N/A	Maximum Limit: 50
6-202P	ImmTrac Poster, “Love Them & Protect Them” - Bilingual (PDF)	05/2005	11″ × 25⅜″ Poster	Maximum Limit: 25
6-250	General Recommendations on Immunization. Morbidity and Mortality Weekly Report (MMWR) January 28, 2011/Vol. 60/No. 2. - English (PDF)	01/2011	N/A	Available Online Only
6-251	Standards for Child and Adolescent Immunization Practices - English (PDF)	07/2004	N/A	Available Online Only
6-252	Standards for Adult Immunization Practices - English (PDF)	07/2017	N/A	Maximum Limit: 10
11-11117	TVFC Provider Brochure	03/2018	8.5" x 11", 4 pp.	Maximum Limit: 500
11-11444	"Hepatitis B Vaccine Can Save your Baby's Life" Brochure - Bilingual (PDF)	07/2016		Maximum Limit: 100
11-11965P	Let’s talk immunizations (Childhood) / Hablemos de inmunizaciones (Infancia) Bilingual Poster(PDF)	02/2018	11" x 17"	Maximum Limit: 50
11-11966	Let’s talk immunizations (Childhood) / Hablemos de inmunizaciones (Infancia) Brochure - Bilingual	03/2018	“5 Panel Brochure: 18.75 x 9, folds to 3.75 x 9”	Maximum Limit: 500
11-12155	Giving All the Doses Chart - Bilingual (PDF)	05/2017	17" X 11"	Maximum Limit: 25
11-12811	“Little Kids Get the Flu Too!” Brochure - English (PDF)	07/2018	N/A	Maximum Limit: 250
11-12811A	“Little Kids Get the Flu Too!” Brochure - Spanish (PDF)	07/2018	N/A	Maximum Limit: 250
11-12812	Influenza Fact Sheet for Child-Care Settings - Bilingual (PDF)	07/2018	N/A	Maximum Limit: 250
11-12815	Vaccines Full Protection Magnet - English (PDF)	01/2017		Available online only
11-12815A	Vaccines Full Protection Magnet - Spanish (PDF)	01/2017		Available online only
11-12816	“Comfort Measures” Tear Off Sheets (Pads of 50 Sheets ea.) - Bilingual (PDF)	10/2017	11" x 8.5"	Maximum Limit: 5
11-12816P	Comfort Measures Poster - Bilingual (PDF)	10/2017	25 Poster	Maximum Limit: 25
11-13079	"ImmTrac2 First Responders Brochure" - (English)	11/2017	N/A	Maximum Limit: 50
11-13080P	ImmTrac2 First Responders Poster - (English)	11/2017	22" X 16"	Maximum Limit: 25
11-13175M	Immunization Schedule Magnet (BABY BEBE - Photo Frame Magnet) – Bilingual (PDF)	12/2016	5 1/2" x 8 1/2"	Available Online Only
11-13643	“Protect Two from the Flu” Brochure - Bilingual (PDF)	06/2011	N/A	Available online only
11-13645P	“Protect Two from the Flu” Poster - Anglo - English (PDF)	06/2011	N/A	Available online only
11-13645P-2	“Protect Two from the Flu” Poster - African American - English (PDF)	06/2011	N/A	Available Online Only
11-13645PA	“Protect Two from the Flu” Poster - Latino - Spanish (PDF)	06/2011	N/A	Available online only
11-13654P	Pertussis Cocooning Poster - Bilingual (PDF)	04/2013	24" X 18"	Available Online Only
11-13655	Pertussis Cocooning Brochure - Bilingual (PDF)	01/2016	N/A	Available Online Only
11-13707A	“ImmTrac Isn't Just for Kids” Brochure - Spanish (PDF)	04/2012	N/A	Available online only
11-13708A	“ImmTrac is for you, too” Brochure - Spanish (PDF)	04/2012	N/A	Maximum Limit: 500
11-13708P	"ImmTrac is for you, too" Poster-Young Adult - Bilingual (PDF)	12/2011	Poster	Maximum Limit: 25
11-13710	“Fight the Flu” Brochure - English (PDF)	04/2019	Flat-8.50" x 11.00" ,Folded-3.65" x 8.50"	Maximum Limit: 500
11-13710A	“Fight the Flu” Brochure - Spanish (PDF)	04/2019	Flat 8.50" X 11.00", Folded 3.65" x 8.50"	Maximum Limit: 500
11-13710P	“Fight The Flu” Poster - Bilingual (PDF)	12/2011	N/A	Available online only
11-13711	“Halt HPV” Brochure - English (PDF)	06/2019	Flat 11.00 X 9.00, Folded 9.00 X 3.83	Maximum Limit: 500
11-13711A	“Halt HPV” Brochure - Spanish (PDF)	06/2019	Flat 11.00 X 9.00, Folded 9.00 X 3.83	Maximum Limit: 500
11-13711P	“Halt HPV” Poster - Bilingual (PDF)	12/2011	N/A	Currently Not Available
11-13712	Meningitis Brochure - English (PDF)	04/2012	N/A	Currently Not Available
11-13712A	Meningitis Brochure - Spanish (PDF)	08/2012	N/A	Currently Not Available
11-14008	“Prevent Pertussis” Brochure - Bilingual (PDF)	01/2013	N/A	Maximum Limit: 500
11-14009P	“Now is the Time to Prevent Whooping Cough” Poster-Anglo Adults - English (PDF)	11/2012	N/A	Maximum Limit: 50
11-14009P-1	gNow is the Time to Prevent Whooping Coughh Poster-African Adults - English (PDF)	11/2012	18 ~ 24 Poster	Available online only
11-14009P-2	gNow is the Time to Prevent Whooping Coughh Poster-Hispanic Adults - English (PDF)	11/2012	18 ~ 24 Poster	Available online only
11-14015P	"Flu Wants You" Poster - Bilingual (PDF)	01/2018	18" x 25"	Maximum Limit: 50
11-14106	“First Responders - Get Vaccinated” Brochure - English (PDF)	01/2018	N/A	Maximum Limit: 500
11-14106P	First Responders - Get Vaccinated Poster - English (PDF)	02/2019	18" x 24" Poster	Maximum Limit: 25
11-14120	“Hepatitis B: What Hospitals Need to Do to Protect Newborns” Booklet - English (PDF)	02/2018		Maximum Limit: 100
11-14121	Hepatitis B Birth Dose Honor Roll - English (PDF)	08/2018	N/A	Maximum Limit: 100
11-14122	Interpretation of Hepatitis B Serologic Test Results - English (PDF)	09/2017	N/A	Maximum Limit: 25
11-14175	Pertussis Information Sheet - Bilingual (PDF)	03/2014	N/A	Available Online Only
11-14178	Pertussis TMP-SMZ (Bactrim, Septra, SMX/TMP) for Pertussis PEP Fact Sheet - Bilingual (PDF)	06/2015	N/A	Available Online Only
11-14179	Azithromycin for Pertussis PEP Fact Sheet - Bilingual (PDF)	08/2014	N/A	Available Online Only
11-14202	“Adults Need Vaccine Too” Adult Safety Net (ASN) Program Brochure - Bilingual (PDF)	01/2016	N/A	Available online only
11-14450P	Pre Teen Vaccine Poster - English (PDF)	03/2019	11 x 17 Poster	Maximum Limit: 20
11-14451P	HPV Poster - English (PDF)	03/2019	11 x 17 Poster	Maximum Limit: 20
11-14452P	Meningococcal Poster - English (PDF)	03/2019	11 ~ 17 Poster	Maximum Limit: 20
11-14453P	Tdap Poster - English (PDF)	03/2019	11 ~ 17 Poster	Maximum Limit: 20
11-14740	Perinatal Hepatitis B Prevention Program Prenatal / OBGYN Badge Buddy - English (PDF)	01/2018	N/A	Maximum Limit: 100
11-14741	Perinatal Hepatitis B Prevention Program Labor and Delivery / Newborn Nursery Hospital Badge Buddy - English (PDF)	01/2018	N/A	Maximum Limit: 100
11-14742	Perinatal Hepatitis B Prevention Program Pediatrician Badge Buddy - English (PDF)	01/2018	N/A	Maximum Limit: 100
11-15040	Perinatal Hepatitis B Prevention Program – Post Vaccination Serologic Testing (PVST) (English)	10/2017		Maximum Limit: 100
11-15064	"ImmTrac2 Parent Brochure, “A Lifetime of Vaccines" (Bilingual)	11/2017	18 3/4' X 9" (5 FOLD)	Maximum Limit: 100
11-15064P	"ImmTrac2 Pediatric Poster, “A Lifetime of Vaccines” (Bilingual)	11/2017	11" x 17"	Maximum Limit: 10
11-15065	ImmTrac2 Provider Brochure (English) (PDF)	11/2017	17.75 x 9 (Tri-fold)	Maximum Limit: 100
11-15086	“Who’s at risk for pneumococcal diseases? Bilingual"	02/2018	17.5 x 8.65 (5 Fold)	Maximum Limit: 500
59-12547	"Protect Babies from Hepatitis B for Life" Provider Brochure (PDF)	05/2017		Available online only
59-12818	Perinatal Hepatitis B Prevention Program Manual - English (PDF)	05/2016	N/A	Maximum Limit: 5
59-13390P	"Protect Babies from Hepatitis B for Life" Perinatal Hepatitis B Prevention Program Provider Poster - Bilingual (PDF)	10/2017	11" x 17"	Maximum Limit: 15
59-13391	Protect Babies from Hepatitis B for Life Perinatal Hepatitis B Prevention Program Parent/Patient Poster - Bilingual (PDF)	10/2017	17" X 11" Poster	Maximum Limit: 10
C-7	"ImmTrac2 Immunization Registry MINOR Consent Form” (Bilingual)	09/2017	Birth Registrars DO NOT use this form.	Maximum Limit: 500
C-8	"ImmTrac2 Withdrawal of Consent Form” (Bilingual)	03/2017	N/A	Available Online Only
C-9	Documenting History of Varicella (Chickenpox) Illness Form - Bilingual (PDF)	01/2018	N/A	Maximum Limit: 500
C-10	TVFC Patient Eligibility Screening Record - Bilingual (PDF)	05/2017	8 1/2" x 11", 4 pp.	Maximum Limit: 500
C-11	School/Daycare Immunization Record - English (PDF)	07/2017	N/A	Maximum Limit: 500
C-33	Monthly Vaccine Report-Form - English	03/2016	Please contact your Health Service Region (HSR) representative to obtain a copy.	Currently Not Available
C-61	Adult Vaccination Reminder Card - Bilingual (PDF)	02/2019	N/A	Maximum Limit: 250
C-62	Adolescent Vaccination Reminder Card - Bilingual (PDF)	04/2009	N/A	Available Online Only
C-63	Clinic Delinquent Reminder Cards (Non-Postage) - Bilingual (PDF)	10/2017	N/A	Maximum Limit: 250
C-64	“Vaccines Build Your Child's Health” Reminder Postcard - Bilingual (PDF)	05/2008	N/A	Available Online Only
C-68-1	PEDIATRIC Biological Order Form (PDF)	08/2018	N/A	Available Online Only
C-68-2	ADULT Biological Order Form (PDF)	05/2018	N/A	Available Online Only
C-76	The Vaccine Adverse Event Reporting System (VAERS) form, stock number C-76 is no longer available from the Department of State Health Services Immunization Unit but is available from the Vaccine Adverse Event Reporting System (VAERS) website at https://vaers.hhs.gov/.		N/A	CNA
C-85	“Pneumococcal Conjugate Vaccine (PCV13)- What You Need to Know" Vaccine Information Statement (VIS)- English Statement \| Addendum	11/05/2015	8.5" x 11", 3 pp.	Maximum Limit: 500
C-85A	“Pneumococcal Conjugate Vaccine (PCV13)- What You Need to Know" Vaccine Information Statement (VIS)- Spanish Statement \| Addendum	11/05/2015	8.5" x 11", 3 pp.	Maximum Limit: 500
C-86	“Pneumococcal Polysaccharide Vaccine (PPSV23) - What You Need to Know" Vaccine information Statement (VIS)- English Statement \| Addendum	04/24/2015	8.5" x 11", 3 pp.	Maximum Limit: 500
C-86A	“Pneumococcal Polysaccharide Vaccine(PPSV23) - What You Need to Know" Vaccine information Statement (VIS)- Spanish Statement \| Addendum	04/24/2015	8.5" x 11", 3 pp.	Maximum Limit: 500
C-87	“Influenza (Flu) Vaccine (Live, Intranasal) : What you need to know VIS - English Statement \| Addendum	08/07/2015		Maximum Limit: 500
C-87A	“Influenza (Flu) Vaccine (Live, Intranasal) : What you need to know VIS - Spanish Statement \| Addendum	08/07/2015		Maximum Limit: 500
C-90	"Polio (IPV) Vaccine - What You Need to Know" Vaccine Information Statement (VIS) - English Statement \| Addendum	07/20/2016	8.5" x 11", 3 pp.	Maximum Limit: 500
C-90A	"Polio (IPV) Vaccine - What You Need to Know" Vaccine Information Statement (VIS) - Spanish Statement \| Addendum	07/20/2016	8.5" x 11", 3 pp.	Maximum Limit: 500
C-91	"DTaP Vaccine (Diphtheria, Tetanus, and Pertussis) - What You Need To Know" Vaccine Information Statement (VIS) - English Statement \| Addendum	08/24/2018	8.5" x 11", 3 pp.	Maximum Limit: 500
C-91A	"DTaP Vaccine (Diphtheria, Tetanus, and Pertussis) - What You Need To Know" Vaccine Information Statement (VIS) - Spanish Statement \| Addendum	08/24/2018	8.5" x 11", 3 pp.	Maximum Limit: 500
C-92	"MMR Vaccine (Measles, Mumps, and Rubella) - What You Need to Know" Vaccine Information Statement (VIS) - English Statement \| Addendum	08/15/2019	8.5" x 11", 3 pp.	Available online only
C-92A	"MMR Vaccine (Measles, Mumps, and Rubella) - What You Need to Know" Vaccine Information Statement (VIS) - Spanish Statement \| Addendum	02/12/2018	8.5" x 11", 3 pp.	Available online only
C-93	"Influenza (Flu) Vaccine (Inactivated or Recombinant): What You Need to Know" Vaccine Information Statement (VIS) - English (You may receive brown paper versions of this VIS and addendum, instead of the usual white paper version. These are still compliant with the requirement to show your patients) Statement \| Addendum	08/07/2015	8.5" x 11", 3 pp.	Maximum Limit: 500
C-93A	"Influenza (Flu) Vaccine (Inactivated or Recombinant): What You Need to Know" Vaccine Information Statement (VIS) - Spanish (You may receive brown paper versions of this VIS and addendum, instead of the usual white paper version. These are still compliant with the requirement to show your patients) Statement \| Addendum	08/07/2015	8.5" x 11", 3 pp.	Maximum Limit: 500
C-94	"Td Vaccine (Tetanus and Diphtheria) - What You Need to Know" Vaccine Information Statement (VIS) - English Statement \| Addendum	04/11/2017	8.5" x 11", 3 pp.	Maximum Limit: 500
C-94A	"Td Vaccine (Tetanus and Diphtheria)- What You Need to Know" Vaccine Information Statement (VIS) - Spanish Statement \| Addendum	04/11/2017	8.5" x 11", 3 pp.	Maximum Limit: 500
C-95	“Hepatitis A Vaccine - What You Need to Know” Vaccine Information Statement (VIS) - English Statement \| Addendum	07/20/2016	8.5" x 11", 3 pp.	Maximum Limit: 500
C-95A	"Hepatitis A Vaccine – What You Need to Know" Vaccine Information Statement (VIS) - Spanish Statement \| Addendum	07/20/2016	8.5" x 11", 3 pp.	Maximum Limit: 500
C-96	“Meningococcal ACWY Vaccines — MenACWY and MPSV4: What You Need to Know” Vaccine Information Statement (VIS) - English Statement \| Addendum	08/24/2018	8.5" x 11", 3 pp.	Maximum Limit: 500
C-96A	“Meningococcal ACWY Vaccines — MenACWY and MPSV4: What You Need to Know” Vaccine Information Statement (VIS) - Spanish Statement \| Addendum	08/24/2018	8.5" x 11", 3 pp.	Available online only
C-97	"Chickenpox Vaccine – What You Need to Know" Vaccine Information Statement (VIS) - English Statement \| Addendum	02/12/2018	8.5" x 11", 3 pp.	Maximum Limit: 500
C-97A	"Chickenpox Vaccine – What You Need to Know" Vaccine Information Statement (VIS) - Spanish Statement \| Addendum	02/18/2018	8.5" x 11", 3 pp.	Maximum Limit: 500
C-99	"Rabies Vaccine - What you Need to Know" Vaccine Information Statement (VIS) - English Statement \| Addendum	10/06/2009	8.5" x 11", 3 pp.	Maximum Limit: 250
C-99A	"Rabies Vaccine - What you Need to Know" Vaccine Information Statement (VIS) - Spanish Statement \| Addendum	10/06/2009	8.5" x 11", 3 pp.	Maximum Limit: 250
C-100	Vaccine Information Documentation - Bilingual (PDF)	04/2017	8 1/2" x 11"	Maximum Limit: 1000
C-102	Personal Immunization Record - Bilingual (PDF)	03/2017	7" x 10"	Maximum Limit: 1000
C-103	My Child's Health Record - Bilingual (PDF)	08/2009	N/A	Available Online Only
C-104	Adult Immunization Record Card - Bilingual (PDF)	07/2019	7" X 10"	Maximum Limit: 1000
C-105RF	Temperature Recording Form for Refrigerator – Fahrenheit(PDF)	08/2017	N/A	Available Online Only
C-105RC	Temperature Recording Form for Refrigerator – Celsius(PDF)	08/2017		Available Online Only
C-105FF	Temperature Recording Form for Freezer – Fahrenheit(PDF)	08/2017		Available Online Only
C-105FC	Temperature Recording Form for Freezer – Celsius(PDF)	08/2017		Available Online Only
C-106	"Hepatitis B Vaccine – What You Need to Know" Vaccine Information Statement (VIS) - English Statement \| Addendum	08/15/2019	8.5" x 11", 3 pp.	Maximum Limit: 500
C-106A	"Hepatitis B Vaccine – What You Need to Know" Vaccine Information Statement (VIS) - Spanish Statement \| Addendum	10/12/2018	8.5" x 11", 3 pp.	Available online only
C-108	"Hib (Haemophilus Influenzae Type B) Vaccine - What You Need to Know" Vaccine Information Statement (VIS) - English Statement \| Addendum	04/02/2015	8.5" x 11", 3 pp.	Maximum Limit: 500
C-108A	"Hib (Haemophilus Influenzae Type B) Vaccine - What You Need to Know" Vaccine Information Statement (VIS) - Spanish Statement \| Addendum	04/02/2015	8.5" x 11", 3 pp.	Maximum Limit: 500
C-109	"Tdap (Tetanus, Diphtheria, and Pertussis) Vaccine - What You Need to Know" Vaccine Information Statement (VIS) - English Statement \| Addendum	02/24/2015	8.5" x 11", 3 pp.	Maximum Limit: 500
C-109A	"Tdap (Tetanus, Diphtheria, and Pertussis) Vaccine - What You Need to Know" Vaccine Information Statement (VIS) - Spanish Statement \| Addendum	02/24/2015	8.5" x 11", 3 pp.	Maximum Limit: 500
C-110	"Rotavirus Vaccine - What You Need to Know" Vaccine Information Statement (VIS) - English Statement \| Addendum	02/23/2018	8.5" x 11", 3 pp.	Maximum Limit: 500
C-110A	"Rotavirus Vaccine - What You Need to Know" Vaccine Information Statement (VIS) - Spanish Statement \| Addendum	02/23/2018	8.5" x 11", 3 pp.	Maximum Limit: 500
C-111	" Recombinant Zoster (Shingles) Vaccine, RZV-What you need to know " Vaccine Information Statement (VIS) - English Statement \| Addendum	02/12/2018	8.5" x 11", 3 pp.	Maximum Limit: 500
C-111A	" Recombinant Zoster (Shingles) Vaccine, RZV-What you need to know " Vaccine Information Statement (VIS) - Spanish Statement \| Addendum	02/12/2018	8.5" x 11" 3 pp.	Maximum Limit: 500
C-112	"Live Zoster (Shingles) Vaccine, ZVL: What You Need to Know” VIS - English Statement \| Addendum	02/12/2018	8.5" x 11", 3 pp.	Maximum Limit: 500
C-112A	“Live Zoster (Shingles) Vaccine, ZVL: What You Need to Know” VIS - Spanish Statement \| Addendum	02/12/2018	8.5" x 11", 3 pp.	Maximum Limit: 500
C-113	"Your Child's First Vaccines - What You Need to Know" Multi-Vaccine - Vaccine Information Statement (VIS) - English Statement \| Addendum	11/05/2015	“8.5” x 11”, 4 pp.”	Available online only
C-113A	"Your Child's First Vaccines - What You Need to Know" Multi-Vaccine - Vaccine Information Statement (VIS) - Spanish Statement \| Addendum	11/05/2015	“8.5” x 11”, 4 pp.”	Maximum Limit: 500
C-115	"MMRV (Measles, Mumps, Rubella, and Varicella) Vaccine - What You Need to Know" Vaccine Information Statement (VIS) - English Statement \| Addendum	02/12/2018	8.5" x 11", 3 pp.	Maximum Limit: 500
C-115A	"MMRV (Measles, Mumps, Rubella, and Varicella) Vaccine - What You Need to Know" Vaccine Information Statement (VIS) - Spanish Statement \| Addendum	02/12/2018	8.5" x 11", 3 pp.	Available Online Only
C-116	"HPV (Human Papillomavirus) Vaccine - What You Need to Know" Vaccine Information Statement - English Statement \| Addendum	05/21/2016	8.5" x 11", 3 pp.	Maximum Limit: 1000
C-116A	"HPV (Human Papillomavirus) Vaccine - What You Need to Know" Vaccine Information Statement - Spanish Statement \| Addendum	05/21/2016	8.5" x 11", 3 pp.	Maximum Limit: 1000
C-117	"Serogroup B Meningococcal Vaccine (MenB)-What You Need to Know" Vaccine Information Statement (VIS) - English Statement \| Addendum	08/09/2016	8.5" x 11", 3 pp.	Maximum Limit: 1000
C-117A	"Serogroup B Meningococcal Vaccine (MenB)-What You Need to Know" Vaccine Information Statement (VIS) - Spanish Statement \| Addendum	08/09/2016	8.5" x 11", 3 pp.	Maximum Limit: 1000
DV0499	“Keep children on track with ImmTrac” DVD - Bilingual	06/2009	N/A	Maximum Limit: 3
DV-0531	“First Responders: Keep Track with ImmTrac” DVD - English	08/2009	N/A	Maximum Limit: 3
E11-14564	Adult Safety Net (ASN) Program Provider Flyer - Bilingual (PDF)	06/2015	N/A	Available Online Only
F11-11443	Texas Vaccines for Children (TVFC) and Adult Safety Net (ASN) Program: Provider Withdrawl Form - English (PDF)	04/2019	N/A	Available Online Only
EF11-14171	Texas Vaccines for Children (TVFC) Vaccine Borrowing Report Form - English (PDF)	03/2016	N/A	Available Online Only
F11-11539	Perinatal Hepatitis B Mom/Client Hospital Card - Bilingual (PDF)	06/2016	N/A	Availble Online Only
F11-11936	"ImmTrac2 Immunization Registry NEWBORN Consent Form” (Bilingual)	03/2017	N/A	Maximum Limit: 1000
F11-12842	"Adult Safety Net (ASN) Eligibility Screening Form” (Bilingual)	01/2018		Available online only
F11-12955	ImmTrac First Responder/Family Member Inclusion or Release Form - Spanish (PDF)	03/2017	N/A	Available online only
F11-12956-P	"ImmTrac2 Disaster Information Retention Consent Form” (Bilingual)	09/2008	N/A	Maximum Limit: 500
F11-13078	"ImmTrac2 First Responders Wallet Card” (English)	07/2019	N/A	Maximum Limit: 500
F11-13366	"ImmTrac2 Immunization Registry ADULT Consent Form” (Bilingual)	07/2019	N/A	Maximum Limit: 250
F11-13678P	Immunization Clinic Poster - Bilingual (PDF)	08/2018	12.00" x 18.00"	Maximum Limit: 25
F11-13788	Patient Referral Form for Vaccination - English (PDF)	12/2011	N/A	Available Online Only
F11-14174	Pertussis PEP Client Evaluation Form - English (PDF)	03/2014	N/A	Available Online Only
F11-14176	Pertussis PEP Medication Contraindications and Precautions Checklist - English (PDF)	06/2015	N/A	Available Online Only
F11-14177	Pertussis PEP Eligibility Criteria Checklist - English (PDF)	08/2014	N/A	Available Online Only
11-13338	Flu Fighters Activity Book - Bilingual (PDF)	09/2017	N/A	Maximum Limit: 250

3. Submit Your Order

Please review your order. Once you click the Submit button your order will be placed. If you submitted by mistake, please call (800) 252-9152, extension 3711 immediately to amend your order.

Important information regarding your Vaccine Information Statement (VIS) order! The CDC has authorized the Department of State Health Services to deplete existing VIS stock prior to distributing the most current version when only minor updates have been made.