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Home   Vaccines · Diseases   Resource Center    What's New      ACIP Guidelines      DHB Recommendations      Brochures      Clinical      Consumer      Forms      Images      IMM Tracking      Info Paper      Library      Maps      Message Maps      MMQC Messages      News      Package Insert      Planning Documents      Policies      Q & A      Related Links      Service Messages      Shortages      Top Resources      Training Opportunities      Vaccine Info      VIS   Education Toolkit   Safety/Adverse Event   Imz University   Last Updated: 15 Sep 08	All Forms   General Vaccine   Dosing Cards   for Treatment of Children Exposed to Weapons of Mass Destruction - USPHS   Initial Competency Assessment - Allergy / Immunizations & Travel Medicine PDF  07 Nov 05   DiLorenzo TRICARE Health Clinic   VAERS Form Anthrax   Army MEDCOM Regulations and AVA Immunization Record (Form 700-R) PDF  04 Sep 03   MEDCOM form #700-R has been rescinded and is no longer to be used for recording anthrax vaccinations. Please continue to record all vaccinations in the following places: - Health Record Immunization Record - SF 601 - International Certification of Vaccination - PHS Form 731 - Adult Preventive and Chronic Care Flow-sheet - DD Form 2766 & DD Form 2766C - Service automated immunization tracking system - MEDPROS/AFCITA/SAMS   DoD AVIP Implementation Instructions   [DOC]  [PDF]  14 Aug 08   Includes AVIP Registry Agreement   Dosing Cards   for Treatment of Children Exposed to Weapons of Mass Destruction - USPHS   Education Roster - Post-EUA (template)   [PDF]  [XLS]  12 Jan 06   Next Dose Scheduled Card PDF  26 May 05   Anthrax Vaccine   VAERS Form Influenza (seasonal)   Flu Screening Form 2008-09 - Adult PDF  12 Sep 08   MILVAX Agency   Flu Screening Form 2008-09 - Pediatric/Adolescent PDF  12 Sep 08   MILVAX Agency   Initial Competency Assessment - FluMist Administration PDF  13 Sep 07   Andrew Rader US Army Health Clinic, Ft Myer, VA Smallpox   30-day Diary Card PDF  07 Feb 08   Symptom Diary After Smallpox Vaccination   Acknowlegement Form (for civilians)  PDF  03 Apr 03   Smallpox Vaccination Program Information Statement and Acknowledgement   Continuation Page PDF  07 Feb 08   Smallpox Vaccination Continuation Note CHRONOLOGICAL RECORD OF MEDICAL CARE   Initial Competency Assessment: Smallpox Vaccine Administration PDF  07 Mar 08   MILVAX Agency   Initial Competency Assessment: Smallpox Vaccine Reconstitution PDF  07 Mar 08   MILVAX Agency   Medical Note for Follow-Up after Vaccination  PDF  07 Feb 08   Follow-Up Note for Standard "Take-Check" Visits   Medical Note for Follow-Up after Vaccination  PDF  07 Feb 08   Follow-Up Note for Sick Call Evaluation of Patients [pre position this form at ERs and troop medical clinics]   Medical Note for Screening for Contraindications  PDF  07 Apr 08   2-page format, STANDARD FORMAT   VAERS Form   VAERS Pregnancy Supplement PDF  01 Mar 08   Supplemental Form for Smallpox Vaccine in Pregnancy Registry
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