CARE-KY Worksheets
Planning an Off-Site Immunization Clinic
Print the PDFs on this page to keep track of important details for each off-site immunization clinic your pharmacy organizes. When a clinic is over, save the completed forms to use as a reference for scheduling repeat or annual clinics at the same location.
- Clinic Scheduling and Outcomes
- Front: Record site details, plan immunizations and promotion, and schedule staff. Back: Record outcomes for future reference.
- Logistics and Layout
- Plan the number and layout of each station at the clinic and review your cold chain, documentation, and post-clinic plans.
- Ordering and Packing Sheet
- List and track vaccines, medical supplies, and other resources that need to be ordered, packed, and transported to the clinic.
- Immunization Administration Best Practices
- Tape a half-sheet at each administration station to help immunizers remember details that ensure a safe, professional clinic.