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.

Instructions

Please complete and submit this online form to request Immunization Supplies. Address and contact information are required.

Please allow up to 2 weeks for your order to be fulfilled.

Online Order Form for Contra Costa County School Districts Only

For further information or assistance contact the Immunization Program at 925-313-6740.