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:

https://tinyurl.com/ImmCCHD

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:

https://tinyurl.com/SchoolsCCHD

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)

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

https://tinyurl.com/ImmCCHD

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

Public and Workplace Immunization Form (PDF)

Resources:

• Influenza Vaccine Information Statement
• Pfizer Fact Sheet for Recipients and Caregivers
• Moderna Fact Sheet for Recipients and Caregivers
• Novavax Fact Sheet for Recipients and Caregivers