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New Mexico Department of Health
New Mexico Immunization Program Website
PROVIDER INFORMATION

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Immunization Schedules
and School Requirements

Vaccine for Children Program

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Vaccine Information Statements (VISs)

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New VFC Vaccine Information (CDC/ACIP)

Immunization Newsletters

Statewide Statistics
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Vaccines for Children Provider Forms


Father with Child

Vaccine Screening Forms


These screening from the Immunization Action Coalition website are useful in identifying patients who should not be vaccinated.

Arrow Child and Adolescent Screening Form
Arrow Adult Screening Form


VFC Forms


Arrow VFC Enrollment and Yearly Renewal Form
Arrow Vaccine Order and Inventory Form
Arrow Vaccine Ordering Instructions
Arrow Supply Order Form
Arrow Vaccine Return Forms
Arrow Vaccine Transfer Forms
Arrow VFC Address Change Form
Arrow Vaccine Administration Record Form Single shot record for front of medical chart
Arrow Instructions for filling out the Vaccine Administration (Part B) form
Arrow Vaccine Administration ("Part B" Form - English We are requesting that completed original Part B forms be mailed (not faxed) to the address on the form.
Arrow Vaccine Administration ("Part B" Form - Spanish We are requesting that completed original Part B forms be mailed (not faxed) to the address on the form.
Arrow NM School Vaccination Consent Form (English)
Arrow NM School Vaccination Consent Form (Spanish)
Arrow Influenza & Pneumococcal Vaccine Administration Form - English
Arrow Influenza & Pneumococcal Vaccine Administration Form - Spanish
ArrowTroubleshooting Record

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IMMUNIZATION SITE MAP


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IMMUNIZATION RESOURCES

National Immunization Program (CDC)

Clinical Prevention Initiative on Childhood Immunization

Immunization Action Coalition

New Mexico Immunization Coalitions

National Network for Immunization Information

American Indian/Alaskan Native Immunization Website

New Mexico Influenza Vaccine Consortium

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Mailing address: P.O. Box 26110, Santa Fe, NM   87508-6100 
NM Immunization Toll Free Hotline: (888) 231-2367

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The mission of the New Mexico Department of Health is to promote health and sound health policy, prevent disease and disability, improve health services systems and assure that essential public health functions and safety net services are available to New Mexicans.
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