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Hospital vaccine orders

Order and pick-up instructions

Napanee based orders

Napanee orders need to be submitted by noon on Wednesday to be ready for pick-up at the Napanee office the following week.
Napanee office pick-up available Monday 1:00 to 4:30 pm and Tuesday to Friday 8:30 am to 12:00 pm and 1:00pm to 4:30pm.

Kingston based orders

Orders will be ready 72 hours after the order is placed. Kingston office pick up available Monday to Friday 8:30am to 4:30pm.

You may place your order now. All orders will be processeed as soon as product is available.

Please note that in some instances it may take longer than 72 hours to be processed, due to the approval process.

Attach temperature log with temperatures from previous four weeks or since last order date.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

If needed, download the Vaccine Temperature Log to document your dates and temperatures.

Name of facility

Main fridge code

Approximate number of patients in practice

Phone number (999-999-9999)

Email address (we will send you a copy of this order for your records)

Do you currently have an order placed for a special order vaccine?

Yes

Type of vaccine(s) you would like to order

Please check all that apply.

DTaP-IPV - Diptheria, Tetanus, Pertussis, Polio

10 doses per package

To be used for catch-up schedules only. If this vaccine is required, please contact KFL&A Public Health, 613-549-1232, ext. 1451

DTaP-IPV-Hib - Diptheria, Tetanus, Pertussis, Polio, and Haemophilus influenzae type b

5 doses per package

I would like to order DTap-IPV-Hib - Diptheria, Tetanus, pertussis, Polio, and Haemophilus influenzae type b

Yes

HA (High Risk) - High Risk Hepatitis A

Adult

1 dose per package

Pediatric

1 dose per package

I would like to order HA (High Risk) - High Risk Hepatitis A - Adult

Yes

I would like to order HA (High Risk) - High Risk Hepatitis A - Pediatric

Yes

HB (High Risk) - High Risk Hepatitis B

Adult

1 dose per package

Pediatric

1 dose per package

I would like to order HB (High Risk) - High Risk Hepatitis B - Adult

Yes

I would like to order HB (High Risk) - High Risk Hepatitis B - Pediatric

Yes

HB Dialysis - Hepatitis B Renal Dialysis

1 dose per package

I would like to order HB Dialysis - Hepatitis B Renal Dialysis

Yes

IPV- Polio

1 dose per package

I would like to order IPV - Polio

Yes

Men-C-C - Meningococcal C Conjugate

5 doses per package

I would like to order Men-C-C - Meningococcal C Conjugate

Yes

MMR - Measles, Mumps, Rubella

10 doses per package

I would like to order MMR - Measles, Mumps, Rubella

Yes

MMRV - Measles, Mumps, Rubella, Varicella

10 doses per package

I would like to order MMRV - Measles, Mumps, Rubella, Varicella

Yes

Pneu-C-15 - Pneumococcal 15-valent conjugate

10 doses per package or 1 dose per package

I would like to order Pneumococcal 15-valent conjugate (Pneu-C-15)

Yes

Pneu-C-20 - Pneumococcal 20-valent conjugate

10 doses per package

I would like to order Pneu-C-20 - Pneumococcal 20-valent conjugate

Yes

Rab - Rabies Human Diploid

1 dose per package

I would like to order Rab - Rabies Human Diploid

yes

RabIg - Rabies Immune Globulin (Human)

1 dose per package

I would like to order RabIg

Yes

Rot-5 - Rotavirus

1 dose per package

Would you like to order Rot-5 - Rotavirus

Yes

Td - Tetanus and Diphtheria

10 doses per package

I would like to order Td - Tetanus and Diphtheria

Yes

Tdap - Tetanus, Diphtheria, Pertussis

5 doses per package or 10 doses per package

I would like to order Tdap - Tetanus, Diphtheria, Pertussis

Yes

Tdap-IPV - Tetanus, Diphtheria, Pertussis, Polio

5 doses per package 10 doses per package

I would like to order Tdap-IPV - Tetanus, Diptheria, Pertussis, Polio

Yes

Tubercilin Purified Protein Derivative (5TU) - TB testing solution

10 doses per package

I would like to order Tubercilin Purified Protein Derivative (5TU) - TB testing solution

Yes

Var - Varicella

1 dose per package or 10 doses per package

I would like to order Var - Varicella

Yes

Shingles - Herpes Zoster

10 doses per package

Would you like to order Shingles Herpes Zoster

Yes

Order immunization cards

I would like to order immunization cards

Yes

Plastic sleeves for immunization cards

I would like to order immunization cards plastic sleeves

Yes

Vaccine temperature log book

I would like to order vaccine temperature log book

Yes

comments or further details

Requested delivery method (please select one)

Client pick-up (please bring cooler, cooled to between 2 to 8°C)

Courier pick-up (please send cooler, cooled to between 2 to 8°C)

Delivered (courier must return cooler after delivery)

By checking this box, I acknowledge I have read, understand, and agree that the information provided in this form is correct.

Yes

Form Builder

Hospital vaccine orders

Order and pick-up instructions

Napanee based orders

Kingston based orders

Type of vaccine(s) you would like to order

DTaP-IPV - Diptheria, Tetanus, Pertussis, Polio

To be used for catch-up schedules only. If this vaccine is required, please contact KFL&A Public Health, 613-549-1232, ext. 1451

DTaP-IPV-Hib - Diptheria, Tetanus, Pertussis, Polio, and Haemophilus influenzae type b

HA (High Risk) - High Risk Hepatitis A

Adult

Pediatric

HB (High Risk) - High Risk Hepatitis B

Adult

Pediatric

HB Dialysis - Hepatitis B Renal Dialysis

IPV- Polio

Men-C-C - Meningococcal C Conjugate

MMR - Measles, Mumps, Rubella

MMRV - Measles, Mumps, Rubella, Varicella

Pneu-C-15 - Pneumococcal 15-valent conjugate

Pneu-C-20 - Pneumococcal 20-valent conjugate

Rab - Rabies Human Diploid

RabIg - Rabies Immune Globulin (Human)

Rot-5 - Rotavirus

Td - Tetanus and Diphtheria

Tdap - Tetanus, Diphtheria, Pertussis

Tdap-IPV - Tetanus, Diphtheria, Pertussis, Polio

Tubercilin Purified Protein Derivative (5TU) - TB testing solution

Var - Varicella

Shingles - Herpes Zoster

Order immunization cards

Plastic sleeves for immunization cards

Vaccine temperature log book