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Forms

Vaccination Guidelines

• Childhood and Adolescent Immunization Schedule (PDF 146 KB)

• Adult Immunization Schedule (PDF 233 KB)

Consent Forms

• Consent by Parent - English (PDF 33 KB)

• Consent by Parent - Spanish (PDF 33 KB)

• HIPAA Record Release - English (PDF 26 KB)

• HIPAA Record Release - Spanish (PDF 20 KB)

Other Forms

• Immunization Certificate Exemption Certificate (PDF 33 KB)

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Please Note: All information is general in nature and should
not substitute seeking proper medical attention.

Citation: This information has been compiled from resources provided by the Centers for Disease Control (CDC). For more information on the CDC, visit their website at: www.cdc.gov/.

Immunization Program
Boulder County Public Health

3450 Broadway, Boulder, CO 80304, (303) 413-7500

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