Forms
View Forms Related Documents
select
select
ADENOVIRUS Type 4 and Type 7 LIVE, ORAL VACCINE, ADMINISTRATION COMPETENCY ASSESSMENT Patient Population Served: Recruits (17-50 yrs)
Supplemental Form for Anthrax Vaccine in Pregnancy Registry
VAERS 19 Mar 14
Vaccine Adverse Event Reporting System
DHA-IHB
Author: IHB
The IHB Continuous Quality Immunization Improvement Process (CQIIP) customer tool will provide immunization personnel with a quality control tool to assess the immunization process and ensure compliance with the eight Standards for Military Immunizations as outlined in the Department of Defense (DOD) Joint Instruction and the Centers for Disease Control and Prevention (CDC) Immunization Recommendations.
Author: IHB
The IHB Instruction Guide for completing the Continuous Quality Immunization Improvement Process (CQIIP) customer tool.
Author: IHB
The IHB CQIIP Reference Guide includes references for the questions asked on the CQIIP customer tool.
VAERS 19 Mar 14
Vaccine Adverse Event Reporting System
U.S. Department of Health and Human Services; Health Resources and Services Administration, Countermeasures Injury Compensation Program
Military Vaccine Agency
U.S. Department of Health and Human Services; Health Resources and Services Administration, Countermeasures Injury Compensation Program
Author: DHA-PHD-IHB
To reduce morbidity and mortality from influenza by vaccinating children and adolescents who meet the criteria established by the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices (ACIP) and the Department of Defense (DoD).
Author: DHA-PHD-IHB
To reduce morbidity and mortality from influenza by vaccinating adults who meet the criteria established by the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices (ACIP) and the Department of Defense (DoD).
Author: DHA-PHD-IHB
Information for Healthcare Professionals about the 2016-2017 Screening Checklist for Influenza Vaccination.
Author: DHA-PHD-IHB
Information for Healthcare Professionals about the 2016-2017 Screening Checklist for Influenza Vaccination.
International Health Regulations (2005)
Supplemental Form for Smallpox Vaccine in Pregnancy Registry
VAERS 19 Mar 14
Vaccine Adverse Event Reporting System
Follow-Up Note for Standard "Take-Check" Visits
Follow-Up Note for Sick Call Evaluation of Patients [pre position this form at ERs and troop medical clinics]
Smallpox Vaccination Continuation Note CHRONOLOGICAL RECORD OF MEDICAL CARE
Symptom Diary After Smallpox Vaccination
International Health Regulations (2005)