Colorado Department of Public Health and Environment

 

Immunization Program:  Forms and Publications

 

Many materials and immunization forms are available to print directly from the website. Please review the list below to locate the form you need. Or you may order multiple copies of forms by submitting an Order Form. If you have questions, please call 303-692-2650.

 

 

Clinical Forms

 

Publications

 

Immunization Administration Record Sheet for child or teen pdf file

 

Immunization Administration Record Sheet for adult pdf file

 

Expanded Immunization Administration Record for adult pdf file

 

Reminder - folding card pdf file

 

Reminder - folding card pdf file(Spanish)

 

Reminder - postcard pdf file

 

Reminder - postcard pdf file(Spanish)

 

VFC order forms

 

 

VFC Update Newsletter

 

Immunization/vaccine abbreviations pdf file

 

Colorado Immunization Manual (CIM)

 

ACIP Schedules and Recommendations

 

Rules of the Colorado Board of Health (effective 7/1/2011) pdf file

 

CO Revised Statutes:  School entry immunization pdf file

 

CO Revised Statutes:  Meningococcal information for college students pdf file

 

Immunization record for children pdf file

 

Immunization record for adults pdf file

 

Data

 

 

 

School Nurse Survey July 06 pdf file

 

School immunization survey 04-05 pdf file

 

School immunization survey 05-06 pdf file

 

Child care facility survey 05 pdf file

 

Reported Cases of Vaccine Preventable Disease in Colorado, 1998-2008 PDF File

 

Hospitalizations for Varicella in Colorado, 1996-2003 PDF File

 

Vaccine Preventable Diseases in Colorado Surveillance Report 2007  2006 2005 2004 2003 2002 2001 PDF File

 

Deaths and Case Fatality Ratios for Select Vaccine Preventable Diseases,  1993-2002 PDF File  

 

Summary of Vaccine Preventable Diseases in Colorado, 2003 PDF File

 

Surveillance of Hepatitis A in Colorado, 2005  2004 PDF File

 

Regional Health Profiles (look under "Communicable Disease")

 

 

 

       
       

 

 

 

parents and family child care, school, college/university health care professionals