Immunization Program
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.
Appointment Forms
| Form |
Language
|
|
Notice of Privacy Practices Form
|
English/Spanish(PDF, 745KB) |
See English |
Punjabi(PDF, 161KB) |
Arabic(PDF, 154KB) |
| Registration Form (2/2024) |
English(PDF, 101KB) |
Spanish(PDF, 99KB) |
Punjabi is coming |
Not available |
| TB Health Screening Form |
English(PDF, 249KB) |
Spanish |
Punjabi is coming |
Not available |
| 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) |
Not available |
| Notice of Privacy Practices |
English(PDF, 89KB) |
Spanish(PDF, 131KB) |
Punjabi(PDF, 240KB) |
Arabic(PDF, 209KB) |
| Price List (2022) |
English(PDF, 957KB) |
Spanish(PDF, 195KB) |
Not available |
Not available |
|
Referral List (Clinics and Pharmacies) 2023
|
English(PDF, 239KB) |
Not available |
Not available |
Not available |
Medi-Cal Transportation Resources
For more information or to request materials,
contact the Immunization Program via e-mail dphvaccine@fresnocountyca.govor call us at (559) 600-3550