Immunizations
Online Forms
Fill out your paperwork in advance, save time later! In an effort to streamline our check-in process, we offer a select list of immunization forms online. Click on the pdf link, type in your information, print the form and bring it with you to the clinic.
(2941)
Vaccine Documentation Consent Form
(English)
(PS-3151)
Documentacion de las Vacunas/ Formulario de
Consentimo (Spanish)
(PS-3175)
Vaccine Documentation Consent Form
(Vietnamese)
2010 Flu Form (English)
2010 Flu Form (Spanish)
Vaccines for Children
Regular
checkups at your pediatrician's office or local health clinic are an important
way to keep children healthy.
By making sure your child gets immunized on time, you can provide the best available defense against many dangerous childhood diseases. Immunizations protect children against: hepatitis B, polio, measles, mumps, rubella (German measles), pertussis (whooping cough), diphtheria, tetanus (lockjaw), Haemophilus influenzae type b, pneumococcal infections, and chickenpox. All of these immunizations need to be given before children are two years old in order for them to be protected during their most vulnerable period. Are your child's immunizations up to date? Click here to download the current childhood vaccination schedule. (Adobe Acrobat Reader Required)
The American Academy of Pediatrics recommends the following four vaccines for teenagers and one vaccine for college students.
Vaccines for Teenagers
- Varicella (chicken pox) vaccine
- Hepatitis B vaccines
- Measles-Mumps-Rubella (MMR) vaccine
- Tetanus-Diphtheria vaccine
- Meningococcus vaccine
Vaccines for College Students
Vaccines for Adults
- Varicella (chicken pox) vaccine
- Hepatitis B vaccines (adults at risk)
- Measles-Mumps-Rubella (MMR) vaccine
- Tetanus-Diphtheria vaccine
Vaccines for Adults Age 50 and Older
- Influenza vaccine (flu shot)
Vaccines for Adults Age 65 and Older
Immunizations are available at the following clinics. Please bring immunization record and medical card.
- Mobile Health
Clinics
660-7340 - West Central Clinic
2716 W. Central
660-7300
8 a.m. to 5 p.m. Monday, Tuesday and Wednesday
Noon to 6:30 p.m. Thursday
8 to 11:30 a.m. Friday
Learn more about immunizations and ways to protect your family from infectious diseases by visiting the U.S. Department of Health and Human Services' new vaccines and immunizations page at www.vaccines.gov
Click here for a fact sheet addressing some of the most common misconceptions about immunizations.
Cost of Vaccinations at the Sedgwick County Health Department
Immunizations are available on a sliding fee scale, which is based on income, for persons 18 years of age and under. Proof of income is required. The standard fee* for immunizations at the Health Department are listed below. Some combination vaccines are also available, which may reduce the cost for clients. Prices are subject to change. Contact the Health Department at 660-7300 for more information or to find out if you are eligible for a sliding scale rate.
*The standard fee does not include a $14.80 administration fee per shot or any reductions from the sliding scale.
| Immunization | Standard Fee |
|---|---|
| DT | $33.28 |
| Tetanus, Diphtheria (TD) (for adults) | $23.35 |
| DTAP | $17.48 |
| HIB | $32.51 |
| TB skin Test | $33.05 |
| Polio | $29.15 |
| Typhoid (Given orally) | $48.30 |
| Typhoid (Injection) | $58.65 |
| Tdap | $42.78 |
| Pneumonia | $48.67 |
| MMR | $58.59 |
| Yellow Fever | $95.45 |
| Hepatitis A - children | $18.40 |
| Hepatitis A - adult | $25.56 |
| Hepatitis B | $33.87 |
| Rotavirus | $91.08 |
| Varicella (Chicken Pox) | $101.55 |
| Meningitis | $125.58 |
| HPV | $165.03 |
| Prevnar | $125.06 |
| Zostavax (Shingles) | $203.55 |
| Pre-exposure Rabies | $203.69 |
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