Immunization Program Newsletter
Immunization Materials Order Form
Click below to order immunization materials from the PA Department of Health.
Required Plans
- Emergency Handling Procedures and Disaster Recovery Plan
- Management Plan and Designated Responsible Staff
- Relocation Plan
Returns and Waste
Storage and Handling
- CDC Vaccine Storage and Handling Toolkit
- Handling a Temperature Excursion
- Recording Vaccine Temperatures
- Status Report following Cold Chain Failure
- Transporting Frozen Vaccines
- Transporting Refrigerated Vaccines
- Transport Inventory Sheet
- Transport Monitoring Sheet
Frequently Used Forms
- AAP Refusal to Vaccinate Form
- Borrowing Report
- Celsius Freezer Temperature Log
- Celsius Refrigerator Temperature Log
- Dose Tracking Form
- Education Roster
- Eligibility Screening Record
- Fahrenheit Freezer Temperature Log
- Fahrenheit Refrigerator Temperature Log
- Incident Report and Worksheet
- Storage Maintenance Reminder
Miscellaneous Resources
- CHIP vs. MA Card Comparison
- Vaccine Administration: Needle Gauge and Length
- Use of Vaccine Purchased with 317 Funds