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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 ↗.


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

Please select the items and indicate the quantity you would like to order.

  Item Description Quantity

California Immunization Handbook – Available online↗

We can only mail materials to schools located with Contra Costa County. If your school is not located in Contra Costa County, please contact your local immunization program or the California Department of Public Health's Immunization Branch.

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