Immunization Program
Publications
NMSIIS Data Quality Improvement Plan (2022)
Immunization - Plan
January 20, 2022
NMSIIS Data Quality Improvement Plan (2022)
NMSIIS Decision to Remove Record
Immunization - Form
December 30, 2021
This form is used by a patient/parent/legal guardian to remove records from the New Mexico Statewide Immunization Information System.
NMSIIS Decline to Participate Form
Immunization - Form
December 30, 2021
This form is used by a patient/parent/legal guardian to decline to participate in the New Mexico Statewide Immunization Information System.
Adult Vaccine Consent Form
Immunization - Form
October 1, 2021
This form may be used by adult patients aged 19 and older to provide vaccination consent to a healthcare provider.
Vaccine Purchase Act Cost Estimates FY22
Immunization - General
September 1, 2021
This is a list of provider cost list
School & Daycare Immunization Requirements 2021-2022 (English)
Immunization - Policies, Protocols & Procedures
July 2, 2021
New Mexico Childcare/Pre-School/School Entry Immunization Requirements. New Mexico School Nurses are granted Public Health authority by the NM Secretary of Health for collecting and submitting immunization information
School & Daycare Immunization Requirements 2021-2022 (Spanish)
Immunization - Policies, Protocols & Procedures
July 2, 2021
New Mexico Childcare/Pre-School/School Entry Immunization Requirements. New Mexico School Nurses are granted Public Health authority by the NM Secretary of Health for collecting and submitting immunization information in Spanish
Got Shots Fillable Form
Immunization - Form
July 1, 2021
Got Shots Fillable Form
Got Shots? Fillable Form - Eng
Got Shots? Fillable Form - Esp
COVID-19 Vaccine Consent Form English
Immunization - Form
March 25, 2021
This form should be used as Consent for COVID-19 Vaccinations
COVID-19 Vaccine Consent Form Spanish.
Immunization - Form
February 25, 2021
This form should be used as Consent for COVID-19 Vaccinations
COVID-19 Vaccine Consent Form Spanish
Immunization - Form
December 18, 2020
This form should be used as Consent for COVID-19 Vaccinations
VFC COVID-19 Troubleshooting Record Form
Immunization - Form
December 15, 2020
This form should be used to report out of range temperature incidents and submit a troubleshooting record to the vaccines for children program.
Northeast Region Flu Clinics
Immunization - Marketing
October 30, 2020
This document is a listing of Flu clinics in the Northeast Region of NM.
Southwest Region Flu Clinics
Immunization - Marketing
October 30, 2020
This document is a listing of Flu clinics in the Southwest Region of NM.
Northwest Region Flu Clinics
Immunization - Marketing
October 30, 2020
This document is a listing of Flu clinics in the Northwest Region of NM.