Flu materials ordering form
Please use this form to request flu immunization materials from the Immunization Program. Any active VFC/VFAAR providers may request materials. Due to limited quality please don't order more than 5 of any one poster.
Money Poster
Number of 'Money' posters requested
Your answer
Kids Poster
Number of 'Kids' posters requested
Your answer
Bus Poster
Number of 'Bus' posters requested
Your answer
Gym Poster
Number of 'Gym' posters requested
Your answer
You and the Flu Fact Sheet 1
Number of 'You and the Flu' fact sheet 1 requested
Your answer
You and the Flu Fact Sheet 2
Number of 'You and the Flu' fact sheet 2 requested:
Your answer
What other flu immunization materials would help you and your practice?
Your answer
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