Immunization Materials Order Form
Ordering Information:
These educational materials are free
They are available for Alameda County only
Please allow 2 weeks for your order

Questions marked with a red asterisk (*) are mandatory. Enter the quantity you need for each item you request. When you are finished, simply click the "Submit" button at the bottom of the form.

If you have questions or need to speak with someone please call:
Main Immunization line (510) 267-3230

Provider/Facility Name *
Your answer
Provider/Facility Type *
If health care provider, what specialty?
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Contact Person *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Fax Number
Your answer
QIC Code
For use by employees within Alameda County Departments
Your answer
California Immunization Record (Yellow Card) - 12 5/8" x 5" - PM-298 (IMM-75)
Permanent yellow card for patients
Quantity of California Immunization Record (Yellow Card) - 12 5/8" x 5" - PM-298 (IMM-75)
Your answer
Pediatric Immunization Record and History - IMM-542P (DHS 8608P)
To use in paper clinical chart
Quantity of Pediatric Immunization Record and History - IMM-542P (DHS 8608P)
Your answer
Adult Immunization Record and History - IMM-542A (DHS 8608)
To use in paper clinical chart
Quantity of Adult Immunization Record and History - IMM-542A (DHS 8608)
Your answer
Childhood Immunization Brochure (English OR Spanish) - 5" x 8" - IMM-234E/S
Intended for parents
Quantity of Childhood Immunization Brochure (English) - 5" x 8" - IMM-234E
English
Your answer
Quantity of Childhood Immunization Brochure (Spanish) - 5" x 8" - IMM-234S
Spanish
Your answer
"Vaccine Safety: 10 Facts for Parents" Flyer - 8.5" x 11" - IMM-916
Intended for parents
Quantity of "Vaccine Safety: 10 Facts for Parents" Flyer - 8.5" x 11" - IMM-916
Your answer
"Vaccines for Teens and Preteens" Flyer (English) - IMM-1120
Intended for parents
Quantity of "Vaccines for Teens and Preteens" Flyer (English) - IMM-1120
Your answer
"Vaccines for Teens and Preteens" Flyer (Spanish) - IMM-1120S
Intended for parents
Quantity of "Vaccines for Teens and Preteens" Flyer (Spanish) - IMM-1120S
Your answer
"Immunizations for a Healthy Pregnancy" Pamphlet (English OR Spanish) - IMM-887E/S
Intended for pregnant women
Quantity of "Immunizations for a Healthy Pregnancy" Pamphlet (English) - IMM-887E
English
Your answer
Quantity of "Immunizations for a Healthy Pregnancy" Pamphlet (Spanish) - IMM-887S
Spanish
Your answer
"Expecting?" Two-sided Flyer - IMM-1146
Intended for pregnant women
Quantity of "Expecting?" Two-sided Flyer - IMM-1146
Your answer
"Ready For 7th Grade?" Flyer OR Postcard (Two Sided Bilingual: English and Spanish) - IMM-1039 OR IMM-863
Two-sided - For Patients
Quantity of "Ready For 7th Grade?" Flyer (Two Sided Bilingual) - IMM-1039
Bilingual Flyer
Your answer
Quantity of "Ready For 7th Grade?" Postcard (Two Sided Bilingual) - 4" x 6" - IMM-863
Bilingual Postcard
Your answer
"Talking with Parents about Vaccine Safety" - IMM-915
Intended for providers
Quantity of "Talking with Parents about Vaccine Safety" - IMM-915
Your answer
"Vaccine Safety: Responding to Parents' Top 10 Concerns" Flyer - IMM-917
Intended for providers
Quantity of "Vaccine Safety: Responding to Parents' Top 10 Concerns" Flyer - IMM-917
Your answer
"Immunization Timing 2016" - IMM-395
Intended for parents
Quantity of "Immunization Timing 2016" - IMM-395
Your answer
"Vaccine Safety: 10 Facts for Medical Assistants" Flyer (English OR Spanish - IMM-1016/ IMM-1016S
Intended for medical assistants
Quantity of "Vaccine Safety: 10 Facts for Medical Assistants" Flyer (English) - IMM-1016
English
Your answer
Quantity of "Vaccine Safety: 10 Facts for Medical Assistants" Flyer (Spanish) - IMM-1016S
Spanish
Your answer
Quantity of "It's Time...2-4-6" Reminder Postcard - 4.25" x 6" - IMM-441
Your answer
VFC Stickers (Orange) - IMM-1082
To identify VFC vaccines in your fridge
Quantity of VFC Stickers (Orange) - IMM-1082
Your answer
Tdap Prescription Pad - IMM-1143
50 per pad
Quantity of Tdap Prescription Pad - IMM-1143
Your answer
“Off To College?” Meningococcal Flyer - IMM-688
For use as a handout or for posting
Quantity of “Off To College?” Meningococcal Flyer - IMM-688
Your answer
HPV Photonovela 12 Page Booklet (Bilingual: English and Spanish) - IMM-1049
Education about HPV prevention
Quantity of HPV Photonovela 12 Page Booklet (Bilingual: English and Spanish) - IMM-1049
Your answer
"Parents: Did You Know HPV Causes" Poster - 17.5" x 11" - IMM-1117
Quantity of "Parents: Did You Know HPV Causes" Poster - 17.5" x 11" - IMM-1117
Your answer
"How Important is HPV for Preteens?" Flyer - IMM-1124
Intended for parents
Quantity of "How Important is HPV for Preteens?" Flyer - IMM-1124
Your answer
"As Easy as 123" HPV Vaccine Appointment Cards - Business Card Size - IMM-1129
Reminder cards for return doses
Quantity of "As Easy as 123" HPV Vaccine Appointment Cards - Business Card Size - IMM-1129
Your answer
Health Care Worker Flu Shot Cling (English) - IMM-800
Intended for health care workers
Quantity of Health Care Worker Flu Shot Cling (English) - IMM-800
Your answer
Health Care Worker Get a Flu Shot Flyer (Two Sided Bilingual: English and Spanish) - IMM-801E/S
Intended for health care workers
Quantity of Health Care Worker Get a Flu Shot Flyer (Two Sided Bilingual: English and Spanish) (2 sided) - IMM-801E/S
Your answer
“Babies need you to protect from the flu” Flyer (Two Sided Bilingual: English and Spanish) - 8" x 10" - IMM-823E/S
For use as a flyer
Quantity of “Babies need you to protect from the flu” Flyer (Two Sided Bilingual: English and Spanish) - 8" x 10" - IMM-823E/S
Your answer
"Flu Prevention Tips" Flyer - IMM-969
Cardstock for posting or a handout
Quantity of "Flu Prevention Tips" Flyer - IMM-969
Your answer
65+ Pneumonia Flyer - IMM-1131
Intended for adult patients
Quantity of 65+ Pneumonia Flyer - IMM-1131
Your answer
California School Immunization Record Form - IMM-101
Blue Card
Quantity of California School Immunization Record Form (Blue Card) - IMM-101
Your answer
Windows for School Immunizations Template (Purple Card) - IMM-528
For use with blue card
Quantity of Windows for School Immunizations Template (Purple Card) - IMM-528
Your answer
Windows for Childcare Immunizations Template (Pink Card) English OR Spanish - IMM-408E/S
Quantity of Windows for Childcare Immunizations Template (Pink Card) English - IMM-408E
English
Your answer
Quantity of Windows for Childcare Immunizations Template (Pink Card) Spanish - IMM-408S
Spanish
Your answer
Tdap Requirement Sticker (20/sheet) - 1.85" x 1.85" - IMM-101ST
Quantity of Tdap Requirement Sticker (20/sheet) - 1.85" x 1.85" - IMM-101ST
Your answer
Childcare Worker Flu & Whooping Cough Flyer (Two Sided Bilingual: English and Spanish) - IMM-874E/S
Quantity of Childcare Worker Flu & Whooping Cough Flyer (Two Sided Bilingual: English and Spanish) - IMM-874E/S
Your answer
Quantity of "No Shots? No Records? No school." Flyer - IMM-1167
Captionless Image
Your answer
Freezer Temperature Magnet - 2" x 3.5" - IMM-324C
Quantity of Freezer Temperature Magnet - 2" x 3.5" - IMM-324C
Your answer
"Warning: Do Not Unplug" Labels - 7" x 8.5" Sticker - IMM-744
Sticker
Quantity of "Warning: Do Not Unplug" Labels - 7" x 8.5" Sticker - IMM-744
Your answer
Vaccine Refrigerator Set-Up Flyer - IMM-963
Intended for posting
Quantity of Vaccine Refrigerator Set-Up Flyer - IMM-963
Your answer
NEW FOR 2016! Refrigerator Temperature Log (Fahrenheit Or Celsius) - One Year Log - IMM-1125 (Fahrenheit)/ IMM-1127 (Celsius)
Refrigerator
Quantity of Refrigerator Temperature Log (Fahrenheit) - One Year Log - IMM-1125 - Refrigerator
Fahrenheit Refrigerator
Your answer
Quantity of Refrigerator Temperature Log (Celsius) - One Year Log - IMM-1127 - Refrigerator
Celsius Refrigerator
Your answer
NEW FOR 2016! Freezer Temperature Log (Fahrenheit OR Celsius) - One Year Log - IMM-1126 (Fahrenheit)/ IMM-1128 (Celsius)
Freezer
Quantity of Freezer Temperature Log (Fahrenheit) - One Year Log - IMM-1126 - Freezer
Fahrenheit Freezer
Your answer
Quantity of Freezer Temperature Log (Celsius) - One Year Log - IMM-1128 - Freezer
Celsius Freezer
Your answer
"Check Your Vials" Flyer - 5.5" x 8.5" - IMM-508
Can be used as handout or posting
Quantity of "Check Your Vials" Flyer - 5.5" x 8.5" - IMM-508
Your answer
"Warning, Health Alert: Face Mask Needed" Card Stock - IMM-783
Quantity of "Warning, Health Alert: Face Mask Needed" Card Stock - IMM-783
Your answer
Quantity of "Cover Your Cough" Table Tent (Bilingual: English and Spanish) - 4.25" x 11" Folded Size - IMM-784
Your answer
"Germ-Free Zone" Flyer (Bilingual: English and Spanish) - IMM-789
Quantity of "Germ-Free Zone" Flyer (Bilingual: English and Spanish) - IMM-789
Your answer
Tdap Information Flyer for Health Care Workers (Bilingual) - IMM-846
Quantity of Tdap Information Flyer for Health Care Workers (Bilingual) - IMM-846
Your answer
"Stop Disease" Card Stock (Multi-language) - 6" x 8" - IMM-780
Chinese, English, Japanese, Korean, Spanish, Tagalog, Vietnamese
Quantity of "Stop Disease" Card Stock (Multi-language) - 6" x 8" - IMM-780
Your answer
"Wash Your Hands" Card Stock (Multi-Language) - 6" x 9" - IMM-825
Chinese, English, Japanese, Korean, Spanish, Tagalog, Vietnamese
Quantity of "Wash Your Hands" Card Stock (Multi-Language) - 6" x 9" - IMM-825
Card Stock
Your answer
"Anyone can get Hepatitis B" Cling On - IMM-747
Quantity of "Anyone can get Hepatitis B" Cling On - IMM-747
Your answer
Recommended Immunization Schedules
Recommended Childhood and Adolescent Immunization Schedule - IMM-662
Quantity of "Recommended Childhood and Adolescent Immunization Schedule" - IMM- 662
Your answer
Recommended Adult Immunization Schedule - IMM-746
Quantity of "Recommended Childhood and Adolescent Immunization Schedule" - IMM-746
Your answer
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