Staff Clinic Forms

Staff Resources

Staff Call Off Link

Admin Lead Team Checklist

Clinic Summary Sheet

Post Event Feedback from Staff

Parking at the Office

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Consent Forms

Minor Consent Forms

Immunization Consent Form

Minor Vaccine Administration Record

Rapid Consent Form

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Clinic Forms/Resources

COVID-19 Dosing Schedule

Vaccine Return Form

Immunization Payment Slip

Notice of Vaccination

Needle Length

Transact Form

Epinephrine Administration Protocol

Self-Pay Rates

Hippa Form

Nurse Error Protocol

Vaccine Information Statements (VIS)

RSV Administration Instructional Video

Vaccinating Adults: A Step-by-Step Guide

 

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Standing Orders

• • Covid 19 – 6 month- 4 years

• • Covid 19 – 5 years- 11 years

• • Covid 19- 12 years +

• • Covid Adults

• • Influenza – Children & Adults

• • Hepatitis A – Children & Adults

• • Hepatitis B – Children & Adults

• • Human Papillomavirus – Children & Teens

• • Jynneos Smallpox and Monkey Pox

• • MMR – Measles, Mumps, & Rubella – Children & Adults

• • Meningococcal ACWY – Children & Adults

• • Meningococcal B – Children & Adults

• • Japanese Encephalitis – Children & Adults

• • Pneumococcal – Children & Adults

• • Prevnar 15, PCV20, and PPSV23- Adults

• • Poliovirus – Children 

• • Shingrix (Zoster) Adults

• • TDAP/TD – Children & Adults &  During Pregnancy

• • DTAP – Children

• • Rabies – Children & Adults

• • Varicella – Children & Adults

• • Yellow Fever – Children & Adults
  • Jynneos: More Info

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Liability Insurance:

NSO Insurance         

Patient Insurance Information:

Patient Insurance Details