For your appointment

1. Confirm Insurance Coverage of Vaccinations​

​For commercial health insurance, please call the Member Services phone number on the back of your insurance card to:

• Verify coverage services at our facility including deductible.
• To help with verification, you may provide your health insurance company our NPI # 1801959630​

2. Complete the Vaccine Administration Form

• Complete and bring the Vaccine Administration Form found in the Resources section at the bottom of the page.

3. Bring the following:

• Completed Vaccine Administration Form
• Vaccine Record
• Insurance Card(s) - Required at each visit
  

• Foster/Guardian/Custody papers (if applicable) - Required at each visit
• A note from the parent IF someone other than the parent will be bringing a child under 18 years old. This form is also on our website. - Required at each visit

4. Review the information below in the Vaccine Information section about the vaccines you or your child is receiving.

• A Vaccine Information Statement will be given to you at the appointment that explains the benefits and risks of each vaccine. You may also visit: https://www.cdc.gov/vaccines/hcp/vis/current-vis.html

Vaccine Information

Oral Vaccine:

ROTAVIRUS is live virus vaccine given orally to prevent a severe vomiting and diarrhea infection. The virus can be shed in the stool for up to 2 weeks. Be mindful of good hand washing with “dirty diaper” changes. There is a very small risk of intussusception from rotavirus vaccination, usually within a week after the first or second dose. Intussusception is when the intestine slides into itself like a telescope. It would appear as stomach pain with severe crying, legs pulled up, may vomit or have blood in stool. Need to seek medical attention.

Vaccines that are injected into the muscle:

DTAP/HIB/IPOL, HEPATITIS B/ PREVNAR13 / Hepatitis A / FLU

As applicable: We encourage increased water intake for the next 1-2 days and encourage movement of the arms to work in the vaccine and to help prevent soreness.

Injections – Child may be fussy, irritable, drowsy or lethargic after injections for 1-2 days, or you may notice soreness, redness, tenderness, swelling at site. If so, you apply a clean, cool, wet washcloth to the site.

Monitor for fever – Ask your child’s doctor if you can give your child a non-aspirin pain reliever. Typically, you can administer Acetaminophen (Tylenol) fever-reducer based on child’s weight every 4 to 6 hours as needed. Ibuprofen (Advil, Motrin) fever-reducer is not recommended until child is 6 months of age unless recommended by physician. Pay extra attention to your child for a few days. If you see something that concerns you, call your child’s doctor.

Vaccines that are injected into the subcutaneous tissue: fatty tissue in the back of the arm

MMR/VARICELLA – weakened live virus vaccine.

MMR –soreness, redness, or rash where the shot is given and rash all over the body can happen after MMR vaccine within 2 weeks. Fever, swelling of the glands in the cheeks or neck sometimes occur after MMR vaccine

VARICELLA -sore arm from the injection, fever or redness or rash where the shot is given within 2 weeks. If develops pox mark on arm, let dry off and fall off. Anyone with a gets a rash should stay away from people with weakened immune system and infants until the rash goes away

MMR#2 &Varicella#2 (*ProQuad)- *based on no history of chickenpox disease AND no history of seizures for child, parent or sibling . If the 1st dose of the MMR and varicella (chickenpox) vaccine took may not see any reaction. If the child did not develop antibodies with 1st dose, possible to develop rash within 2 weeks after vaccine received or develop a pox mark at site of infection or rash on chest. If develops a pox mark at site of injection, let dry up and fall off. * Anyone who gets a rash should stay away from people with weakened immune system and infants until the rash goes away. 

RV: rotavirus infection, a serious diarrheal disease

DTaP: diphtheria, tetanus (lockjaw), and pertussis (whooping cough)

Hib: Haemophilus influenzae type b, a serious brain, throat, and blood infection

Polio: polio, a serious paralyzing disease

HepB: hepatitis B, a serious liver disease

PCV13: pneumococcal conjugate vaccine protects against a serious blood, lung, and brain infection

HepA: hepatitis A, a serious liver disease

Influenza: a serious lung infection

MMR: measles, mumps, and rubella

Chickenpox: also called varicella

Vaccines for Adolescents – administered into the arm muscle:

We encourage increased water intake for the next 1-2 days and encourage movement of the arms to work in the vaccine and to help prevent soreness.



Most people don’t have any serious side effects from vaccines. If you have any symptoms that concern you after you get vaccinated, call your doctor. The most common side effects are usually mild and can include pain, swelling, or redness where the shot was given, mild fever, feeling tired, headache. Tdap (tetanus, diphtheria, pertussis)

Meningococcal ACWY – helps protect against meningitis (infection of the lining of the brain and spinal cord) and infections of the blood.. A small percentage of experience muscle or joint pains.

HPV (Human papillomavirus) vaccine – can prevent cervical, vaginal and vulvar cancers in women, penile cancer in men, and anal cancers in both men and women.

FLU – a serious lung infection

Immunization Resources