HFY/Bureau of Immunization Assessment and Assurance Forms Available from DHSS Warehouse
Updated on 5/3/2012
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10 forms in this list.| Catalog Number | Name | Quantity Per Unit | Program | Restrictions |
| IMMP-1 | MISSOURI IMMUNIZATION RECORD (MO580-0242) 7/11 | EACH | HFY/Bureau of Immunization Assessment and Assurance | |
| IMMP-11 | PARENT/GUARDIAN IMMUNIZATION EXEMPTION FORM | EACH | HFY/Bureau of Immunization Assessment and Assurance | PROGRAM APPROVAL REQUIRED |
| IMMP-11A | RELIGIOUS IMMUNIZATION EXEMPTION | EACH | HFY/Bureau of Immunization Assessment and Assurance | PROGRAM APPROVAL REQUIRED |
| IMMP-12 | MEDICAL IMMUNIZATION EXEMPTION | EACH | HFY/Bureau of Immunization Assessment and Assurance | PROGRAM APPROVAL REQUIRED |
| IMMP-14 | IMMUNIZATIONS IN PROGRESS FORM | EACH | HFY/Bureau of Immunization Assessment and Assurance | PROGRAM APPROVAL REQUIRED |
| IMMP-18 | APPT. REMINDER CARDS | EACH | HFY/Bureau of Immunization Assessment and Assurance | LIMIT/100 |
| IMMP-8K | PNEUMOCOCCAL POLYSACCHARIDE VACCINE--WHAT YOU NEED TO KNOW | PAD/ | HFY/Bureau of Immunization Assessment and Assurance | |
| IMMP-8Q | SHINGLES VACCINE, WHAT YOU NEED TO KNOW | PAD/ | HFY/Bureau of Immunization Assessment and Assurance | |
| IMMP-8R | AFTER THE SHOTS, WHAT TO DO IF YOUR BABY HAS DISCOMFORT | PAD/ | HFY/Bureau of Immunization Assessment and Assurance | |
| IMMP-BAG | IMMP-1 BAGS (COVER) | EACH | HFY/Bureau of Immunization Assessment and Assurance | LIMIT/500 |