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Manitoba Health
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Information and Forms for Health Professionals
Guidelines
- CDC Management Protocols
- Cold Chain Resources
- Eligibility Criteria for Publicly-Funded Vaccines
- Immunizing Agents and Biologics Return Policy and Procedure
NEW Apr. 2012 - Informed Consent Guidelines for Immunization
July 2011 - Manitoba Immunization Schedules - Reference Guide for Health Professionals
May 2011 - Reporting of Diseases and Conditions Regulation
- User Guide to Completion and Submission of the AEFI Reports
August 2011
Letter Templates
- Hepatitis B Infant Prophylaxis Parent Letter Template
September 2009 - Hepatitis B Infant Prophylaxis Provider Letter Template
April 2010
Forms
- Immunization Provider Information Update Form NEW - JAN 2012
Record and Consent Forms
- Seasonal Influenza and Pneumococcal Vaccine Consent Form
REVISED August 2010 - Adult Immunization Record Card | [français]
REVISED July 2010 - Adult Immunization Record Form | [français]
August 2004 - Childhood Immunization Record Card | [français]
REVISED July 2010 - Child Immunization Consent Form | [français]
June 2008 - Hepatitis B Prophylaxis Record Sheet for Infants
November 2008
Reporting/Monitoring Forms
- Immunizing Agents and Biologics Problem Report
July 2010 - Report of Adverse Events Following Immunization (AEFI)
- Seasonal Influenza and Pneumococcal Immunization Data Entry Form
REVISED July 2010
Order Forms
- Immunizing Agents and Biologics Order Form REVISED April 2012
- Information Resources Order Form (Influenza and Pneumo Immunization Resources)
July 2011
[Additional Provincial and National Resources
Manitoba
- Influenza Reports
- Manitoba Immunization Monitoring System (MIMS)
- Monthly Communicable Disease Reports / Manitoba Monthly Surveillance Unit Report
National
- Canadian Immunization Guide Seventh Edition (2006)
- FluWatch
- National Advisory Committee on Immunization (NACI)
To reach staff and for general enquiries: |
Communicable Disease
Control (CDC) |
