Approved, inspected Health Care Provider facilities have different vaccine order forms to use, depending on location.

To order Routine Vaccines click here.  All routine vaccines must be ordered online. 

To order Fall Respiratory Vaccines click here. Fall respiratory vaccines includes influenza, COVID-19, RSV vaccine and RSV mAb for infants (Beyfortus®)

We are no longer accepting faxed orders for Routine or Fall Vaccines. Please continue to use the order forms below for special order and school vaccines.

See Professional Development tab below for Online Vaccine Ordering Video Tutorial.

PLEASE USE THESE FORMS:

• Special Order Form
• Grades 8-12 Student Men-C-ACYW Order Form 
• School Catch up (HB & HPV) Order Form 

• Adult High-Risk RSV Order Form
• Infant High-Risk 50mg RSV Order Form
• Infant High-Risk 100mg RSV Order Form

 

Additional Forms:

• Temperature log book (pdf)
• Vaccine Return Form (pdf)
• Adverse Event Following Immunization Report Form (pdf)

Medical Exemption Forms:

• School Aged Children - ENGLISH/FRENCH
• Child Care – ENGLISH
• Child Care - FRENCH

* Note: If you are completing the Medical Exemption for a child attending a childcare facility, select “Parent of a child”. If you are completing the Medical Exemption for a staff member who works in a childcare facility, select “An individual”