Immunization Program

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The Fresno County Immunization Program provides immunizations for children who qualify for the Vaccines for Children Program (VFC) and eligible adults to protect them against vaccine-preventable diseases.

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Appointment Forms

Registration Form (2/2024)  English(DOCX, 94KB) Spanish(DOCX, 97KB) Punjabi is coming  

Notice of Privacy Practices Form (From: HIPAA -Home)

Eng/Span(PDF, 745KB) See Eng Punjabi(PDF, 161KB) Arabic(PDF, 154KB)
TB Health Screening Form English(DOCX, 96KB) Spanish Punjabi is coming  
Health Screening Form - Adults English(PDF, 351KB) Spanish(PDF, 344KB) Punjabi is coming Arabic(PDF, 407KB)

Health Screening Form - Children/Teens

English(PDF, 304KB) Spanish(PDF, 356KB) Punjabi is coming Arabic(PDF, 518KB)
IZ Clinic Services Flyer (7/2023)  English(PDF, 405KB) Spanish(PDF, 682KB) Punjabi(PDF, 429KB) Arabic
Notice of Privacy Practices English Spanish Punjabi Arabic
Price List (2022) English(PDF, 957KB) Spanish(DOCX, 74KB)    

Referral List (Clinics and Pharmacies) 2023

English(PDF, 239KB)      

Medi-Cal Transportation Resources

Medi-Cal Transportation Request Flyer English
Anthem Transportation Request  Click Here
CalViva Transportation Request  Click Here

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For more information or to request materials,
contact the Immunization Program via e-mail dphvaccine@fresnocountyca.govor call us at (559) 600-3550