Schools and Childcare Order Form
This order form is for Contra Costa County schools only. If you are outside of Contra Costa County, please contact your local county Immunization program ↗.
Please use this form to order Immunization Supplies. Please indicate address and contact information. Fax completed Order Form to 925-313-6036 OR fill-in Online Order Form and Submit.
Please allow up to 2 weeks for your order to be fulfilled.
Online Order Form
for Contra Costa County School Districts only
For further information or assistance contact the Immunization Program at 925-313-6767.