Pediatric Immunization Materials
Please use this form to request immunization materials from the Philadelphia Immunization Program. Any active VFC providers may request materials.
VFC Stickers
Place these stickers on the vaccine in your storage unit to differentiate VFC and Private vaccine.
Number of sticker sheets requested
24 stickers per sheet (limit 30 sheets per order)
Your answer
Operating Your Digital Data Logger - Stop Guide
Number of Stop Guides requested
1 Stop Guide per order (limit 5 sheets per order)
Your answer
Operating Your Digital Data Logger - Start Guide
Number of Start Guides requested
1 Start Guide per order (limit 5 sheets per order)
Your answer
Do Not Unplug Stickers
Number of "Do Not Unplug" stickers requested
6 stickers per sheet
Your answer
Laminated Childhood Immunization Schedule, 2019
Number of laminated childhood immunization schedules requested
Your answer
Immunization Passport
Yellow immunization passports are used to record a patient's vaccine history.
Number of immunization passports requested
Your answer
HPV Fact Sheet
Number of HPV Fact Sheets requested
Your answer
Postcard Version: "Feeling Easy Breezy"
Thanks to vaccines
Number of "Feeling Easy Breezy" postcards requested
Dimensions: 4" x 6"
Your answer
Postcards Version: "Living Life Like a Boss"
Thanks to vaccines
Number of "Living Life Like a Boss" postcards requested (NOTE: temporarily out of stock)
Dimensions: 4" x 6"
Your answer
Postcard Version: "Full-Time Adventuring"
Thanks to vaccines
Number of "Full-Time Adventuring" postcards requested
Dimensions: 4" x 6"
Your answer
Postcard Version: "Ready to Blast Off"
Number of "Ready to Blast Off" postcards requested
Dimensions: 4" x 6"
Your answer
Postcard Version: "Starting Out on the Right Note"
Thanks to vaccines
Number of "Starting Out on the Right Note" postcards requested (NOTE: temporarily out of stock)
Dimensions: 4" x 6"
Your answer
Postcard version: "Your child's shots are due" (English)
Number of "Your child's shots are due" (English) postcards requested:
Your answer
Postcard version: "Your child's shots are due" (Spanish)
Number of "Your child's shots are due" (Spanish) postcards requested
Your answer
Postcard Version: "Reaching New Heights"
Thanks to vaccines
Number of "Reaching New Heights" postcards requested
Dimensions: 6" x 4"
Your answer
Poster: "Living Life Like a Boss"
Thanks to vaccines
Number of "Living Life Like a Boss" posters requested
Dimensions: 17" x 11"
Your answer
Poster: "Living Large"
Thanks to vaccines
Number of "Living Large" posters requested
Dimensions: 11" x 17"
Your answer
Poster: "Feeling Breezy"
Thanks to vaccines
Number of "Feeling Breezy" posters requested
Dimensions: 17" x 11"
Your answer
Poster: "Adventuring"
Thanks to vaccines
Number of "Adventuring" posters requested
Dimensions: 17" x 11"
Your answer
Poster: "Blast Off"
Thanks to vaccines
Number of "Blast Off" posters requested
Dimensions: 17" x 11"
Your answer
Poster: "Right Note"
Thanks to vaccines
Number of "Right Note" posters requested
Dimensions: 17" x 11"
Your answer
Poster: "New Heights"
Thanks to vaccines
Number of "New Heights" posters requested
Dimensions: 11" x 17"
Your answer
HPV Poster with Girl Photo
HPV vaccine is cancer prevention (limit 5 per order)
Number of "girl" HPV posters requested
Dimensions: 11" x 17"
Your answer
HPV Poster with Boy Photo
HPV vaccine is cancer prevention (limit 5 per order)
Number of "boy" HPV posters requested
Dimensions: 11" x 17"
Your answer
HPV Poster with Door Graphic
Closing the door to cancer (limit 5 per order)
Number of "door" HPV posters requested
Dimensions: 11" x 17"
Your answer
Certificate of Immunization (package of 50)
Number of Certificates of Immunization packages requested (each package contains 50)
Your answer
Medical Plans (package of 50)
Number of Medical Plan packages requested (each package contains 50)
Your answer
Teen vaccination bookmarks (Spanish, French, Chinese)
Number of Teen Vaccination Bookmark packs requested (each pack contains 50 bookmarks)
Your answer
Language for Teen Vaccination Bookmarks (Spanish, French, or Chinese):
Your answer
My Vaccine Activity Book
Number of My Vaccine Activity Book (Limit is 25 per order)
Your answer
Growth Chart
Number of Growth Charts
Your answer
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