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Immunization Branch

DSHS Literature & Forms Online Order Form


Updated as of 11/16/07

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Please use care as the shipping labels will contain exactly what you type into the cells and double check your mailing address and zip code to prevent costly returns. Thank You!

Order Date: 11/20/2007

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Please allow up to 3 business days for orders to ship after being released for distribution by Texas DSHS Immunization Branch.

Note: Please order from Immunization Branch-Literature and Forms once a month and only order up to the quantity limits. Thank you for your cooperation.

CNA = Currently Not Available

Note: May 1, 2006, the Texas Department of State Health Services, Immunization Branch, Literature and Forms no longer accepts back orders for publications currently not available due to revisions/replenishments.  Please check with the Immunization Branch, Literature and Forms at (800) 252-9152 extension 6516 on the availability of publications not available. 

Beginning May 1, 2006, the Texas Department of State Health Services, Immunization Branch has Interim VIS and corresponding addendum available electronically for down-loading and will no longer print Interim Vaccine Information Statements (VIS). To download a particular VIS or a piece of literature, please click on the link or links available in each title box. When downloading a VIS there will be a link for the VIS and a separate link for the addendum.

Stock#

Title

6-14

Minimum State Vaccine Requirements for Texas School Entrance/Attendance (Bilingual, 8.5 x 11, 4pp) View Item Here (Rev. 08/07) 

6-15

Minimum State Vaccine Requirements for Texas Child-Care Facilities (Bilingual, 8.5 x 11, 6pp)
View Item Here (Rev. 08/07) 

6-26

Recommendation for Handling & Storage of Selected Biologicals-Booklet. View Item Here (Rev. 08/05)  

CNA

6-26P

Recommendation for Handling & Storage of Selected Biologicals-Poster 17" x 33 1/2"
View Item Here (Rev. 11/06)  

CNA

6-27P

"How to Administer Injections" Poster - 11" x 17" (English) View Item Here (Rev. 06/06) 

Limit: 50

6-36

Fee for Vaccine Administration-Poster - 17" x 22" View Item Here (Rev.01/04) 

Limit: 50

6-61

Guide to Contraindications-Poster - 13 1/4" x 28 1/2" View Item Here (Rev. 03/05) 

CNA

6-67

Story of Shots-Booklet (English) View Item Here (Rev. 03/06) 

6-67A

Story of Shots-Booklet (Spanish) View Item Here (Rev. 05/06) 

6-102

Texas Vaccines For Children-Physician Recruitment Packet. Please contact your Health Service Region (HSR) representative to obtain a copy or download from our website. Available Here 

NA

6-103

Texas School Immunization Law - View Item Here (Rev. 03/07)  

6-104

Recommended Adult Immunization Schedule UNITED STATES · OCTOBER 2006 - SEPTEMBER 2007 View Item Here (English) (Rev. 10/06) 

CNA

6-104A

Recommended Adult Immunization Schedule UNITED STATES · OCTOBER 2006 - SEPTEMBER 2007 View Item Here (Spanish) (Rev. 12/06) 

6-105

Recommended Childhood and Adolescent Immunization Schedule, United States, 2007
View Item Here (English) 4-page, color version (DSHS Rev. 01/07) 

6-105A

Recommended Childhood and Adolescent Immunization Schedule, United States, 2007
View Item Here (Spanish) (DSHS Rev. 01/07) 

6-180

Refrigerator Warning Signs-(Bilingual) (for vaccine storage) View Item Here (Rev. 01/05) 

6-202

"Love Them & Protect Them"-ImmTrac Brochure (Bilingual) View Item Here (Rev. 03/06) 

6-202P

"Love Them & Protect Them"-ImmTrac Poster - 11" x 25 3/8" (Bilingual)
View Item Here (Rev. 05/05) 

6-205

"These Are The Times You'll Want To Remember"-Pamphlet (English) View Item Here (Rev. 02/07) 

Limit: 5000

6-205A

"These Are The Times You'll Want To Remember"-Pamphlet (Spanish) View Item Here (Rev. 02/07) 

CNA

6-214

"These Are The Times You'll Want To Remember"-Poster - 18 1/2" x 23"(English) View Item Here 

Limit: 50

6-216

Liability Protection for Children's Immunization Providers View Item Here (Rev. 04/05) 

6-217

"Your Kid's Ticket to a Healthier Life" Brochure (English) View Item Here (Rev. 12/05) 

CNA

6-217M

"Your Kid's Ticket to a Healthier Life" Magnet (English) View Item Here (Rev. 12/05) 

CNA

6-217P

"Your Kid's Ticket to a Healthier Life" Poster - 16" x 20" (English) View Item Here (Rev. 09/04) 

Limit: 50

6-218

"Protect Texas Children" Brochure (English) View Item Here (Rev. 08/04) 

6-250

General Recommendations on Immunization. Morbidity and Mortality Weekly Report (MMWR) December 1, 2006/Vol. 55/No. RR-15 . View Item Here 

6-251

Standards for Child and Adolescent Immunization Practices. View Item Here (Rev. 07/04) 

Limit: 2

6-252

Standards for Adult Immunization Practices - (CDC Rev. 07/04) View Item Here 

6-305

Every Dose Counts 4th DTaP-Bilingual Poster - 17" x 23" View Item Here 

6-306

Every Dose Counts 4th DTaP-Bilingual Poster - 18" x 25" View Item Here 

11-10373

TVFC-“Stop Vaccine Fraud and Abuse” Brochure (English) View Item Here (Rev. 08/01) 

Limit: 50

11-11117

"Vaccines Provide Protection When Your Baby Needs It Most"-Brochure (Bilingual) 

11-11166

"Vaccines Provide Protection When Your Baby Needs It Most"-Poster (Bilingual) 

CNA

11-11424

"Pertussis (Whooping Cough) Fact Sheet" (Bilingual) View Item Here (Rev. 02/06) 

Limit: 500

11-11444

"You, Your Baby, & Hepatitis B" Brochure (English) (Rev. 01/04) 

CNA

11-11530

"Is it just a cough? Or is it pertussis/whooping cough?"-Brochure (English)
View Item Here (Rev. 02/06) 

CNA

11-11530A

"Is it just a cough? Or is it pertussis/whooping cough?"-Brochure (Spanish)
View Item Here (Rev. 02/06) 

11-11531P

"Is it just a cough? Or is it pertussis/whooping cough?"- Poster 11" x 17" (Bilingual)
View Item Here (Rev. 02/06) 

Limit: 50

11-11699P

"Anyone Can Get Pertussis"-Poster 11" x 17" (Bilingual) View Item Here (Rev. 02/06) 

Limit: 50

11-11700

"Anyone Can Get Pertussis"-Brochure (English) View Item Here (Rev. 02/06) 

CNA

11-11700A

"Anyone Can Get Pertussis"-Brochure (Spanish) View Item Here (Rev. 02/06) 

CNA

11-11965

"Play It Safe... Vaccinate." / "Nuestros Angelitos Merecen Proteccion" (Our Guardian Angels) Poster - 16" x 20"(English/Spanish) (Rev. 04/04) 

CNA

11-11966

"Play It Safe... Vaccinate." Brochure (English) View Item Here (Rev. 01/05) 

11-11966A

"Nuestros Angelitos Merecen Proteccion" (Our Guardian Angels) Brochure (Spanish)
View Item Here (Rev. 01/05) 

11-12155

"Giving All the Doses Chart" (English) View Item Here (Rev. 04/05) 

CNA

11-12812

Influenza (The Flu) Fact Sheet for Child-Care Settings View Item Here (Rev.08/07) 

C-7

"ImmTrac"- Immunization Registry Consent Form View Item Here (Rev. 04/07) 

C-9

Documenting History of Varicella (Chickenpox) Illness Form (Bilingual) View Item Here (Rev. 09/07) 

C-10

Texas VFC-Patient Eligibility Screening Form (Bilingual) View Item Here (Rev. 04/06) 

C-11

School/Daycare Immunization Record View Item Here (Rev. 04/07) 

C-33

Monthly Vaccine Report-Form Please contact your Health Service Region (HSR) representative to obtain a copy or download from our website. Available Here (Rev. 08/06) 

NA

C-63

Clinic Delinquent Reminder Card (Non Postage) (Bilingual) View Item Here (Rev. 06/06) 

Limit: 500

C-64

"Play It Safe... Vaccinate." Reminder Postcard (English) View Item Here (Rev. 09/06) 

CNA

C-68

Biological Order/Transfer Form Please contact your Health Service Region (HSR) representative to obtain a copy or download from our website: Available Here (Rev. 08/07) 

NA

C-76

Vaccine Adverse Event Reporting System-Form View Item Here (Rev. 06/06) 

C-85

Pneumococcal Conjugate Vaccine-Vaccine Information Statement (English) (CDC Rev. 09/30/02) * Available online: VIS | Addendum 

C-85A

Pneumococcal Conjugate Vaccine-Vaccine Information Statement (Spanish) (CDC Rev. 09/30/02) * Available online: VIS | Suplemento 

C-86

Pneumococcal Polysaccharide Vaccine-Vaccine Information Statement (English) (CDC Rev. 07/29/97) * Available online: VIS | Addendum 

C-86A

Pneumococcal Polysaccharide Vaccine-Vaccine Information Statement (Spanish) (CDC Rev. 07/29/97) * Available online: VIS | Suplemento 

C-87

Live, Intranasal Influenza Vaccine - Vaccine Information Statement (English) (CDC Rev. 10/04/07) * Available online: VIS | Addendum 

C-87A

Live, Intranasal Influenza Vaccine - Vaccine Information Statement (Spanish) (CDC Rev. 07/16/07) * Available online: VIS | Suplemento 

Available Online Only

C-90

Polio Vaccine (IPV)-Vaccine Information Statement (English) (CDC Rev. 01/01/00)
* Available online: VIS | Addendum 

C-90A

Polio Vaccine (IPV)-Vaccine Information Statement (Spanish) CDC (Rev. 01/01/00)
* Available online: VIS | Suplemento 

C-91

Diphtheria, Tetanus, and Pertussis Vaccine-Vaccine Information Statement (English) (CDC Rev. 05/17/07) * Available online: VIS | Addendum 

C-91A

Diphtheria, Tetanus, and Pertussis Vaccine-Vaccine Information Statement (Spanish) (CDC Rev. 05/17/07) * Available online: VIS | Suplemento 

C-92

Measles, Mumps, and Rubella Vaccine-Vaccine Information Statement (English) (CDC Rev. 01/15/03) * Available online: VIS | Addendum 

C-92A

Measles, Mumps, and Rubella Vaccine-Vaccine Information Statement (Spanish) (CDC Rev. 01/15/03) * Available online: VIS | Suplemento 

Available Online Only

C-93

Influenza Vaccine-Vaccine Information Statement (English) (CDC Rev. 07/16/07)
* Available online: VIS | Addendum 

C-93A

Influenza Vaccine-Vaccine Information Statement (Spanish) (CDC Rev. 07/16/07)
* Available online: VIS | Suplemento 

C-94

Tetanus and Diphtheria Vaccine-Vaccine Information Statement (English) (CDC Rev. 06/10/94)
* Available online: VIS | Addendum 

C-94A

Tetanus and Diphtheria Vaccine-Vaccine Information Statement (Spanish) (CDC Rev. 06/10/94)
* Available online: VIS | Suplemento 

C-95

Hepatitis A Vaccine-Vaccine Information Statement (English) (CDC Rev. 03/21/06)
* Available online: VIS | Addendum 

C-95A

Hepatitis A Vaccine-Vaccine Information Statement (Spanish) (CDC Rev. 03/21/06)
* Available online: VIS | Suplemento 

C-96

Meningococcal Vaccine-Vaccine Information Statement (English) (CDC Interim Rev. 08/16/07)
* Available online only: VIS | Addendum 

Available Online Only

C-96A

Meningococcal Vaccine-Vaccine Information Statement (Spanish) (CDC Interim Rev. 10/07/05
* Available online only: VIS | Suplemento 

Available Online Only

C-97

Chickenpox Vaccine-Vaccine Information Statement (English) (CDC Rev. 1/10/07)
* Available online only: VIS | Addendum 

Available Online Only

C-97A

Chickenpox Vaccine-Vaccine Information Statement (Spanish) (CDC Rev. 01/10/07)(DSHS Rev. 01/07)
* Available online only: VIS | Suplemento 

Available Online Only

C-99

Rabies Vaccine - Vaccine Information Statement (English) (CDC Rev. 01/12/06)
* Available online only: VIS | Addendum 

Available Online Only

C-99A

Rabies Vaccine - Vaccine Information Statement (Spanish) (CDC Rev. 01/12/06)
* Available online only: VIS | Suplemento 

Available Online Only

C-100

Vaccine Information Documentation (Bilingual) View Item Here (Rev. 09/06)  

C-102

Personal Immunization Record (Bilingual) View Item Here (Rev. 10/06) 

C-103

My Child's Health Record - (Bilingual) 

CNA

C-104

Adult Immunization Record Card (Bilingual) View Item Here (Rev. 10/06) 

C-105

Temperature Recording Form View Item Here (Rev. 01/05) 

C-106

Hepatitis B Vaccine-Vaccine Information Statement (English) (CDC Interim Rev. 07/18/07)
* Available Online Only: VIS | Addendum 

Available Online Only

C-106A

Hepatitis B Vaccine-Vaccine Information Statement (Spanish) (CDC Interim Rev. 07/18/07)
* Available Online Only: VIS | Suplemento 

Available Online Only

C-108

Haemophilus Influenzae Type b Vaccine (Hib)-Vaccine Information Statement (English) (CDC Rev. 12/16/98)
* Available Online: VIS | Addendum 

C-108A

Haemophilus Influenzae Type b Vaccine (Hib)-Vaccine Information Statement (Spanish) (CDC Rev. 12/16/98)
* Available Online: VIS | Suplemento 

C-109

Tetanus, Diphtheria, Pertussis (Tdap) Vaccine - Vaccine Information Statement (English) (CDC Interim Rev. 07/12/06)
* Available online only: VIS | Addendum 

Available Online Only

C-109A

Tetanus, Diphtheria, Pertussis (Tdap) Vaccine - Vaccine Information Statement (Spanish) (CDC Interim Rev. 07/12/06)
* Available online only: VIS | Suplemento 

Available Online Only

C-110

Rotavirus Vaccine-Vaccine Information Statement (English) (CDC Interim Rev. 04/12/06)

* Available online only: VIS | Addendum
 

Available Online Only

C-110A

Rotavirus Vaccine-Vaccine Information Statement (Spanish) (CDC Interim Rev. 04/12/06)

* Available online only: VIS | Suplemento
 

Available Online Only

C-111

Human Papillomavirus Vaccine (HPV)-Vaccine Information Statement (English) (CDC Interim Rev. 2/2/07)
* Available online only: VIS | Addendum
 

Available Online Only

C-111A

Human Papillomavirus Vaccine (HPV)-Vaccine Information Statement (Spanish) (CDC Interim Rev. 2/2/07)
* Available online only: VIS | Suplemento
 

Available Online Only

C-112

Shingles Vaccine-Vaccine Information Statement (English) (CDC Interim Rev. 9/11/06)
* Available online only: VIS | Addendum
 

Available Online Only

C-112A

Shingles Vaccine-Vaccine Information Statement (Spanish) (CDC Interim Rev. 9/11/06)
* Available online only: VIS | Suplemento
 

Available Online Only

F11-11443

"Provider Withdrawal Form" Please contact your Health Service Region (HSR) representative to obtain a copy or download from our website. Available Here (Rev. 02/05) 

NA

Please review your order. Once you click the Submit button your order will be placed. If you submitted by mistake, please call 1-800-252-9152, extension 6516 immediately to amend your order.

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Last Updated November 16, 2007

 

 

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