Immunization Clinics

This online form does not need to be printed or emailed. It will submit directly to Cavalier County Health District on completion and submission:

Immunization Consent Form Electronic Submission

PDF forms need to be printed and brought to the office or clinic you are attending.

Immunization Consent Form (PDF)

This online school clinic form does not need to be printed and returned to the school. It will submit directly to Cavalier County Health District on completion and submission:

School Immunization Form Electronic Submission

PDF school flu clinic forms need to be printed and returned to the school or public health office prior to the school clinic.

School Immunization Form (PDF)

Resources:

• Influenza Vaccine Information Statement (injectable)
• Influenza Vaccine Information Statement (nasal mist)
• Pfizer Fact Sheet for Recipients and Caregivers for 11 years of age and under
• Moderna Fact Sheet for Recipients and Caregivers for 11 years of age and under
• Pfizer Vaccine Information Statement 12+ Years
• Moderna Vaccine Information Statement 12+ Years
• Novavax Fact Sheet for Recipients and Caregivers