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Immunization Materials
Schools and Childcare Order Form

This order form is for Contra Costa County schools only. If you are outside of Contra Costa County, please contact your local county Immunization program ↗.


Please use this form to order Immunization Supplies. Please indicate address and contact information. Fax completed Order Form to 925-313-6036 OR fill-in Online Order Form and Submit.
Please allow up to 2 weeks for your order to be fulfilled.

Fax Order Form

Online Order Form
 for Contra Costa County School Districts only

Please select the items and indicate the quantity you would like to order.

  Item Description Quantity

California Immunization Handbook – Available online↗

Orders will be sent within Contra Costa County School Districts only

For further information or assistance contact the Immunization Program at 925-313-6767.