Downloadable Materials Download and customize these editable documents from the Immunization Toolkit for Long-Term Care Facilities

Staff PowerPoint Presentation. Staff Presentation (ppt 10 pages, 6.6MB)

Family PowerPoint Presentation Family Presentation (ppt 11 pages, 4.8MB)

Protect Residents, Self, Family Staff Newsletter (Word doc 1 page)

Staff Flu Shot Reminders Paycheck Stuffers (Word doc 1 page, 1.1MB)

Staff Letter Sample Letter (Word doc 1 page)

Family Letter Sample Letter (Word doc 1 page)

Physicians Letter Sample Letter (Word doc 1 page)

One Month Notice Sample Notice (Word doc 1 page)

Standing Order Flu Guidelines Sample Guidelines (Word doc 2 pages)

Standing Order PPV Guidelines Sample Guidelines (Word doc 2 pages)

Adverse Reactions Guidelines Sample Guidelines (Word doc 3 pages)

Admissions Checklist Sample Checklist (Word doc 1 page)

Tracking Form Sample Form (Word doc 1 page)

Employee Declination Form Sample Form (Word doc 1 page)

Physician Declination Form Sample Form (Word doc 1 page)

Surveillance Form Sample Form (Word doc 1 page)

Family Council Meeting Flyer Sample Flyer (Publisher pub 1 page)

Vaccination Log Sample Log (Word doc 1 page)

Vaccination Tally Sheet Sample Tally Sheet (Word doc 1 page)

CAIR ~ Keep Your Immunizations Online! Form to request your immunizations be entered into San Diego Regional Immunization Registry (SDIR) (pdf 1 page)

For more information contact:

Jae L. Hansen
Jae.Hansen@sdcounty.ca.gov

 

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