VFAAR materials ordering form
Please use this form to request immunization materials from the Vaccines for Adults at Risk (VFAAR) Program. Any active VFAAR providers may request materials.
VFAAR Vaccine Stickers
Number of VFAAR sticker sheets requested (24 stickers per sheet; limit 30 sheets per order)
Your answer
"Do Not Unplug" stickers
Number of "Do not unplug" stickers requested
Your answer
Adult Immunization Records
Number of immunization passports requested
Your answer
Laminated Adult Immunization Schedule, 2016
Number of laminated adult immunization schedules requested
Your answer
Adult Vaccination Information pamphlets
Number of Adult Vaccine Information pamphlets requested
Your answer
Older Adult Vaccine Information pamphlet
Number of Older Adult Vaccine Information pamphlets requested:
Your answer
Shingles pamphlet
Number of Shingles pamphlets requested
Your answer
Shingles Fact Sheet
Number of Shingles Fact Sheets requested
Your answer
What other adult immunization materials would help you and your practice?
Your answer
CDC Pink Book. 13th Edition 2015
Number of CDC Pink Books requested
Your answer
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