H1N1 Web site for Clark, Cowlitz, Skamania counties and Cowlitz Tribe
 
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This page was last updated:
February 2, 2010

 

Health care providers


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Antivirals

Fact sheets

Prevention and care resources

Vaccine

How to order H1N1 vaccine

H1N1 vaccine can be ordered from your local health jurisdiction. Submit a vaccine request by e-mail or FAX as indicated on the forms below. Orders will be filled depending on vaccine availability. If you have questions, please call (360) 852-7691 or e-mail ph.message@clark.wa.gov.

Reporting forms

To ensure vaccine is provided to the community as efficiently and effectively as possible, providers in Clark, Cowlitz, Skamania, and Wahkiakum counties are required to report to Region IV Public Health vaccine inventory, number of doses administered, vaccine transferred to other providers, and other information. If you have questions, please call (360) 852-7691 or e-mail ph.message@clark.wa.gov.

Clark County providers

Cowlitz County providers

Standing orders

The following Region IV Public Health standing orders are available to providers and other health care organizations to modify for their own use.

Vaccine administration record (PDF)

- English
- Russian
- Spanish

Vaccine information statements (PDF)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
 

Information lines

  • Clark County (360) 397-8021
  • Outside Clark County (877) 510-2772

Fact sheets (PDF)

Monitoring H1N1

Local: Southwest Washington flu data (PDF)

State:

Washington Department of Health

Oregon Department of Human Services

Federal: Centers for Disease Control and Prevention

Global: World Health Organization

 

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