Forms and Downloads

This certificate is the official Certificate of Immunization required for children entering licensed child care and school.

This certificate is the official Certificate of Immunization required for children entering licensed child care and/or school.

This certificate is the official Provisional Certificate of Immunization to be used when a child has begun but not completed the vaccines required for entry into licensed child care and/or school.

This certificate is the official Certificate of Immunization Exemption for medical or religious reasons for children entering licensed child care and/or school.

This small card is designed for parents to record their child's immunizations for future reference. It is not an official Certificate of Immunization.

This index card is designed for health care providers to maintain information regarding immunizations. It is not an official Certificate of Immunization.

This small folded card will fit in a standard wallet and is designed for adults to record their immunizations for future reference. It is not an official Certificate of Immunization.

This folded 3¾ x 8½ brochure outlines the recommended infant immunizations. It is recommended for general public use.

This folded 3¾ x 8½ brochure outlines the recommended adolescent immunizations. It is recommended for general public use.

This folded 3¾ x 8½ brochure outlines the recommended adult immunizations. It is recommended for general public use.

This folded 3¾ x 8½ brochure outlines influenza immunization recommendations for all ages. It is recommended for general public use.

This folded 3¾ x 8½ brochure outlines Iowa Immunization Law including the required immunizations for entry into licensed child care and/or school and the types of immunization certificates available in Iowa. It is recommended for general public use.

This folded 3¾ x 8½ brochure outlines the recommendations for hepatitis B vaccination for children. It is recommended for general public use.

This folded 3¾ x 8½ brochure outlines the recommendations for caring for a hepatitis B positive mother and/or infant as well as testing recommendations for all pregnant women. This brochure is recommended for providers and not for general public use.

This folded 3¾ x 8½ brochure outlines the recommended infant immunizations. It is recommended for general public use.

This folded 3¾ x 8½ brochure outlines the recommended adolescent immunizations. It is recommended for general public use.

This folded 3¾ x 8½ brochure outlines the recommended adult immunizations. It is recommended for general public use.

This folded 3¾ x 8½ brochure outlines influenza immunization recommendations for all ages. It is recommended for general public use.

This folded 3¾ x 8½ brochure outlines Iowa Immunization Law including the required immunizations for entry into licensed child care and school and the types of immunization certificates available in Iowa. It is recommended for general public use.

This folded 3¾ x 8½ brochure outlines the recommendations for hepatitis B vaccination for children. It is recommended for general public use.

This form, on self-carbon paper, can be used by individuals who audit licensed child care facilities. Intended for use by Local Public Health Agencies.

This form, on self-carbon paper, can be used by individuals who audit schools. Intended for use by Local Public Health Agencies.

This 17x22 poster features our "Immunize for a Better Life" campaign theme and a variety of people of different ages and backgrounds. It is intended to encourage age-appropriate vaccination.

This 17x22 poster features our "Immunize for a Better Life" campaign theme and a variety of people of different ages and backgrounds. It is intended to encourage age-appropriate vaccination.

This 17x22 poster features our "Immunize for a Better Life" campaign theme and a variety of health care workers of different ages and backgrounds. It is intended to encourage influenza vaccination in health care workers.

This 11x17 poster features our "Immunize for a Better Life" campaign theme and a variety of health care workers of different ages and backgrounds. It is intended to encourage influenza vaccination in health care workers. It has a space at the bottom of the poster to enter facility specific information regarding influenza vaccination clinic dates and times.

This 17x22 poster features our “Immunize for a Better Life” campaign theme and a variety of people of different ages and backgrounds. It is intended to encourage the public to receive flu vaccination.

This 11x17 poster features our “Immunize for a Better Life” campaign theme and a variety of people of different ages and backgrounds. It is intended to encourage the public to receive flu vaccination. It has a space that the bottom of the poster to enter facility specific information regarding flu clinic dates and times.

This is the poster that is part of the statewide “The Flu Ends With U” media campaign.

This 8½ x11 form is used to screen children for eligibility in the VFC program. It is intended for use in a public clinic setting.

This 8½ x11 form is used to screen children for eligibility in the VFC program. It is intended for use in a private clinic setting.

This 8½x11 form is used to order vaccine from the Iowa Department of Public Health VFC program. All vaccines available through the Iowa VFC Program are listed on this order form.

This 8½x11 temperature log is designed to chart one month of refrigerator and/or freezer temperatures in Fahrenheit. It is designed for use for any setting that is storing vaccine.

This 8½ x11 temperature log is designed to chart one month of refrigerator and/or freezer temperatures in Celsius. It is designed for use for any setting that is storing vaccine.

This 8½x11 report is designed to be submitted monthly indicating the type and number of doses of vaccine administered and wasted at the public clinic in a month.

This 8½x11 report is designed to be submitted monthly indicating the type and number of doses of vaccine administered and wasted at a private clinic in a month.

This 8½ 11 form is used to screen children for eligibility in the VFC program. It is intended for use in a private clinic setting.

This 8½x11 form is used to screen children for eligibility in the VFC program. It is intended for use in a public clinic setting.

This 8½x11 cardstock sheet has four perforated postcards on each sheet. It is designed to be used by clinics that are using IRIS to print out reminder/recall postcards for clients.

Vaccine Information Statements (VIS) are designed for use by facilities (public and private) administering vaccine. It is federal law that patients are provided a VIS and have the opportunity to ask questions regarding the vaccine to be administered. The VISs listed here are available for clinics in bulk. If single VISs are desired, please visit the CDC Web site to download the most current VIS.