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Form 8 "Certificate of Immunization" - Iowa
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Form 588-0224VR "Application for License to Marry in Iowa" - Iowa
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"Storage and Handling Incident Response Worksheet" - Iowa
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"Iowa Initial Refugee Health Assessment Form" - Iowa
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"Authorized Site Agreement - Organization - Immunization Registry Information System (Iris)" - Iowa
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"Immunization Registry Information System (Iris) Authorized User Agreement - Individual User" - Iowa
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"Vaccine Storage Troubleshooting Record" - Iowa
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"Vaccine Transferred Between Vfc Providers" - Iowa
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"Registro De Evaluacion De Elegibilidad De Pacientes - Proveedor Publico - Programa De Vacunas Para Ninos" - Iowa (Spanish)
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"Patient Eligibility Screening Record - Public Provider - Vaccines for Children Program" - Iowa
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"Nonviable Vaccine Return Form - Vaccines for Children Program" - Iowa
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"Registro De Evaluacion De Elegibilidad De Pacientes - Proveedor Privado - Programa De Vacunas Para Ninos" - Iowa (Spanish)
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"Patient Eligibility Screening Record - Private Provider - Vaccines for Children Program" - Iowa
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"Immunization and Health Screening Record Request - Immunization Registry Information System (Iris)" - Iowa
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"Vfc Vaccine Borrowing Report - Vaccines for Children Program" - Iowa
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"Ltbi Treatment Monitoring Flow Sheet - Tuberculosis Control Program" - Iowa
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"Treatment of Latent Tuberculosis Infection (Ltbi) Medication Request Form" - Iowa
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"Window Period Prophylaxis (Wpp) Patient Information Sheet for Children Under 5 Years of Age" - Iowa
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"Emergency Vaccine Response Worksheet" - Iowa
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"Tuberculosis Control Program Dot Log" - Iowa
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Appendix 2 "Perinatal Hepatitis B Hospital Report" - Iowa
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"Celsius Refrigerator Temperature Log - Days 1-15" - Iowa
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"Celsius Freezer Temperature Log - Days 1-15" - Iowa
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"Programa De Vacunas Para Ninos Registro De Evaluacion De Elegibilidad De Pacientes Proveedor Publico" - Iowa (Spanish)
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"Vaccines for Children Program Patient Eligibility Screening Record Public Provider" - Iowa
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"Ltbi 12-dose Treatment Monitoring Flow Sheet" - Iowa
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"Certificate of Immunization Exemption - Medical" - Iowa
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"Provisional Certificate of Immunization" - Iowa
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"Master Index Card" - Iowa
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"Ltbi Treatment Monitoring Flow Sheet" - Iowa
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"Tb Screening Form - Tuberculosis Control Program" - Iowa
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"Certificate of Immunization" - Iowa
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"Tb Sign/Symptom Screening Form for Homeless Shelters - Tuberculosis Control Program" - Iowa
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"HIPAA Permits Disclosure of Ipost to Other Health Care Providers as Necessary" - Iowa
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"Children's Patient Information Sheet Treatment of Tuberculosis Disease (Pulmonary and Extrapulmonary)" - Iowa
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"Tb Suspect/Active Patient Intake Form" - Iowa
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"Monthly Medicine Record" - Iowa
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"Child Care Immunization Record Review - Immunization Program" - Iowa
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"School Immunization Record Review - Immunization Program" - Iowa
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"Provider Profile Form - Vaccines for Children (Vfc) Program" - Iowa
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![Form 8 "Certificate of Immunization" - Iowa](https://data.templateroller.com/pdf_docs_html/324/3247/324734/form-8-certificate-immunization-iowa.png "Form 8 "Certificate of Immunization" - Iowa")
![Form 588-0224VR "Application for License to Marry in Iowa" - Iowa](https://data.templateroller.com/pdf_docs_html/4/41/4109/form-588-0224vr-application-license-to-marry-in-iowa-iowa.png "Form 588-0224VR "Application for License to Marry in Iowa" - Iowa")
!["Storage and Handling Incident Response Worksheet" - Iowa](https://data.templateroller.com/pdf_docs_html/2435/24350/2435099/storage-and-handling-incident-response-worksheet-iowa.png ""Storage and Handling Incident Response Worksheet" - Iowa")
!["Iowa Initial Refugee Health Assessment Form" - Iowa](https://data.templateroller.com/pdf_docs_html/2379/23791/2379109/iowa-initial-refugee-health-assessment-form-iowa.png ""Iowa Initial Refugee Health Assessment Form" - Iowa")
!["Authorized Site Agreement - Organization - Immunization Registry Information System (Iris)" - Iowa](https://data.templateroller.com/pdf_docs_html/2274/22744/2274468/authorized-site-agreement-organization-immunization-registry-information-system-iris-iowa.png ""Authorized Site Agreement - Organization - Immunization Registry Information System (Iris)" - Iowa")
!["Immunization Registry Information System (Iris) Authorized User Agreement - Individual User" - Iowa](https://data.templateroller.com/pdf_docs_html/2379/23791/2379135/immunization-registry-information-system-iris-authorized-user-agreement-individual-user-iowa.png ""Immunization Registry Information System (Iris) Authorized User Agreement - Individual User" - Iowa")
!["Vaccine Storage Troubleshooting Record" - Iowa](https://data.templateroller.com/pdf_docs_html/2274/22744/2274469/vaccine-storage-troubleshooting-record-iowa.png ""Vaccine Storage Troubleshooting Record" - Iowa")
!["Vaccine Transferred Between Vfc Providers" - Iowa](https://data.templateroller.com/pdf_docs_html/2274/22744/2274458/vaccine-transferred-between-vfc-providers-iowa.png ""Vaccine Transferred Between Vfc Providers" - Iowa")
!["Registro De Evaluacion De Elegibilidad De Pacientes - Proveedor Publico - Programa De Vacunas Para Ninos" - Iowa (Spanish)](https://data.templateroller.com/pdf_docs_html/2274/22744/2274464/registro-de-evaluacion-de-elegibilidad-de-pacientes-proveedor-publico-programa-de-vacunas-para-ninos-iowa-spanish.png ""Registro De Evaluacion De Elegibilidad De Pacientes - Proveedor Publico - Programa De Vacunas Para Ninos" - Iowa (Spanish)")
!["Patient Eligibility Screening Record - Public Provider - Vaccines for Children Program" - Iowa](https://data.templateroller.com/pdf_docs_html/2274/22744/2274463/patient-eligibility-screening-record-public-provider-vaccines-for-children-program-iowa.png ""Patient Eligibility Screening Record - Public Provider - Vaccines for Children Program" - Iowa")
!["Nonviable Vaccine Return Form - Vaccines for Children Program" - Iowa](https://data.templateroller.com/pdf_docs_html/2274/22744/2274459/nonviable-vaccine-return-form-vaccines-for-children-program-iowa.png ""Nonviable Vaccine Return Form - Vaccines for Children Program" - Iowa")
!["Registro De Evaluacion De Elegibilidad De Pacientes - Proveedor Privado - Programa De Vacunas Para Ninos" - Iowa (Spanish)](https://data.templateroller.com/pdf_docs_html/2274/22744/2274465/registro-de-evaluacion-de-elegibilidad-de-pacientes-proveedor-privado-programa-de-vacunas-para-ninos-iowa-spanish.png ""Registro De Evaluacion De Elegibilidad De Pacientes - Proveedor Privado - Programa De Vacunas Para Ninos" - Iowa (Spanish)")
!["Patient Eligibility Screening Record - Private Provider - Vaccines for Children Program" - Iowa](https://data.templateroller.com/pdf_docs_html/2274/22744/2274467/patient-eligibility-screening-record-private-provider-vaccines-for-children-program-iowa.png ""Patient Eligibility Screening Record - Private Provider - Vaccines for Children Program" - Iowa")
!["Immunization and Health Screening Record Request - Immunization Registry Information System (Iris)" - Iowa](https://data.templateroller.com/pdf_docs_html/2274/22745/2274511/immunization-and-health-screening-record-request-immunization-registry-information-system-iris-iowa.png ""Immunization and Health Screening Record Request - Immunization Registry Information System (Iris)" - Iowa")
!["Vfc Vaccine Borrowing Report - Vaccines for Children Program" - Iowa](https://data.templateroller.com/pdf_docs_html/2274/22744/2274460/vfc-vaccine-borrowing-report-vaccines-for-children-program-iowa.png ""Vfc Vaccine Borrowing Report - Vaccines for Children Program" - Iowa")
!["Ltbi Treatment Monitoring Flow Sheet - Tuberculosis Control Program" - Iowa](https://data.templateroller.com/pdf_docs_html/2381/23815/2381502/ltbi-treatment-monitoring-flow-sheet-tuberculosis-control-program-iowa.png ""Ltbi Treatment Monitoring Flow Sheet - Tuberculosis Control Program" - Iowa")
!["Treatment of Latent Tuberculosis Infection (Ltbi) Medication Request Form" - Iowa](https://data.templateroller.com/pdf_docs_html/2131/21316/2131634/treatment-of-latent-tuberculosis-infection-ltbi-medication-request-form-iowa.png ""Treatment of Latent Tuberculosis Infection (Ltbi) Medication Request Form" - Iowa")
!["Window Period Prophylaxis (Wpp) Patient Information Sheet for Children Under 5 Years of Age" - Iowa](https://data.templateroller.com/pdf_docs_html/2274/22741/2274128/window-period-prophylaxis-wpp-patient-information-sheet-for-children-under-5-years-of-age-iowa.png ""Window Period Prophylaxis (Wpp) Patient Information Sheet for Children Under 5 Years of Age" - Iowa")
!["Emergency Vaccine Response Worksheet" - Iowa](https://data.templateroller.com/pdf_docs_html/2274/22744/2274466/emergency-vaccine-response-worksheet-iowa.png ""Emergency Vaccine Response Worksheet" - Iowa")
!["Tuberculosis Control Program Dot Log" - Iowa](https://data.templateroller.com/pdf_docs_html/2131/21316/2131626/tuberculosis-control-program-dot-log-iowa.png ""Tuberculosis Control Program Dot Log" - Iowa")
![Appendix 2 "Perinatal Hepatitis B Hospital Report" - Iowa](https://data.templateroller.com/pdf_docs_html/2274/22744/2274498/appendix-2-perinatal-hepatitis-b-hospital-report-iowa.png "Appendix 2 "Perinatal Hepatitis B Hospital Report" - Iowa")
!["Celsius Refrigerator Temperature Log - Days 1-15" - Iowa](https://data.templateroller.com/pdf_docs_html/2131/21316/2131625/celsius-refrigerator-temperature-log-days-1-15-iowa.png ""Celsius Refrigerator Temperature Log - Days 1-15" - Iowa")
!["Celsius Freezer Temperature Log - Days 1-15" - Iowa](https://data.templateroller.com/pdf_docs_html/2129/21297/2129709/celsius-freezer-temperature-log-days-1-15-iowa.png ""Celsius Freezer Temperature Log - Days 1-15" - Iowa")
!["Programa De Vacunas Para Ninos Registro De Evaluacion De Elegibilidad De Pacientes Proveedor Publico" - Iowa (Spanish)](https://data.templateroller.com/pdf_docs_html/2131/21316/2131631/programa-de-vacunas-para-ninos-registro-de-evaluacion-de-elegibilidad-de-pacientes-proveedor-publico-iowa-spanish.png ""Programa De Vacunas Para Ninos Registro De Evaluacion De Elegibilidad De Pacientes Proveedor Publico" - Iowa (Spanish)")
!["Vaccines for Children Program Patient Eligibility Screening Record Public Provider" - Iowa](https://data.templateroller.com/pdf_docs_html/2131/21316/2131633/vaccines-for-children-program-patient-eligibility-screening-record-public-provider-iowa.png ""Vaccines for Children Program Patient Eligibility Screening Record Public Provider" - Iowa")
!["Ltbi 12-dose Treatment Monitoring Flow Sheet" - Iowa](https://data.templateroller.com/pdf_docs_html/2274/22741/2274130/ltbi-12-dose-treatment-monitoring-flow-sheet-iowa.png ""Ltbi 12-dose Treatment Monitoring Flow Sheet" - Iowa")
!["Certificate of Immunization Exemption - Medical" - Iowa](https://data.templateroller.com/pdf_docs_html/2129/21297/2129704/certificate-of-immunization-exemption-medical-iowa.png ""Certificate of Immunization Exemption - Medical" - Iowa")
!["Provisional Certificate of Immunization" - Iowa](https://data.templateroller.com/pdf_docs_html/2131/21316/2131614/provisional-certificate-of-immunization-iowa.png ""Provisional Certificate of Immunization" - Iowa")
!["Master Index Card" - Iowa](https://data.templateroller.com/pdf_docs_html/2131/21316/2131615/master-index-card-iowa.png ""Master Index Card" - Iowa")
!["Ltbi Treatment Monitoring Flow Sheet" - Iowa](https://data.templateroller.com/pdf_docs_html/2131/21316/2131630/ltbi-treatment-monitoring-flow-sheet-iowa.png ""Ltbi Treatment Monitoring Flow Sheet" - Iowa")
!["Tb Screening Form - Tuberculosis Control Program" - Iowa](https://data.templateroller.com/pdf_docs_html/2274/22741/2274121/tb-screening-form-tuberculosis-control-program-iowa.png ""Tb Screening Form - Tuberculosis Control Program" - Iowa")
!["Certificate of Immunization" - Iowa](https://data.templateroller.com/pdf_docs_html/1728/17288/1728840/certificate-immunization-iowa.png ""Certificate of Immunization" - Iowa")
!["Tb Sign/Symptom Screening Form for Homeless Shelters - Tuberculosis Control Program" - Iowa](https://data.templateroller.com/pdf_docs_html/2274/22741/2274134/tb-sign-symptom-screening-form-for-homeless-shelters-tuberculosis-control-program-iowa.png ""Tb Sign/Symptom Screening Form for Homeless Shelters - Tuberculosis Control Program" - Iowa")
!["HIPAA Permits Disclosure of Ipost to Other Health Care Providers as Necessary" - Iowa](https://data.templateroller.com/pdf_docs_html/73/737/73717/hipaa-permits-disclosure-ipost-to-other-health-care-providers-as-necessary-iowa.png ""HIPAA Permits Disclosure of Ipost to Other Health Care Providers as Necessary" - Iowa")
!["Children's Patient Information Sheet Treatment of Tuberculosis Disease (Pulmonary and Extrapulmonary)" - Iowa](https://data.templateroller.com/pdf_docs_html/2131/21316/2131635/children-s-patient-information-sheet-treatment-of-tuberculosis-disease-pulmonary-and-extrapulmonary-iowa.png ""Children's Patient Information Sheet Treatment of Tuberculosis Disease (Pulmonary and Extrapulmonary)" - Iowa")
!["Tb Suspect/Active Patient Intake Form" - Iowa](https://data.templateroller.com/pdf_docs_html/2131/21316/2131629/tb-suspect-active-patient-intake-form-iowa.png ""Tb Suspect/Active Patient Intake Form" - Iowa")
!["Monthly Medicine Record" - Iowa](https://data.templateroller.com/pdf_docs_html/1584/15848/1584882/monthly-medicine-record-iowa.png ""Monthly Medicine Record" - Iowa")
!["Child Care Immunization Record Review - Immunization Program" - Iowa](https://data.templateroller.com/pdf_docs_html/2274/22745/2274503/child-care-immunization-record-review-immunization-program-iowa.png ""Child Care Immunization Record Review - Immunization Program" - Iowa")
!["School Immunization Record Review - Immunization Program" - Iowa](https://data.templateroller.com/pdf_docs_html/2274/22745/2274502/school-immunization-record-review-immunization-program-iowa.png ""School Immunization Record Review - Immunization Program" - Iowa")
!["Provider Profile Form - Vaccines for Children (Vfc) Program" - Iowa](https://data.templateroller.com/pdf_docs_html/2274/22744/2274461/provider-profile-form-vaccines-for-children-vfc-program-iowa.png ""Provider Profile Form - Vaccines for Children (Vfc) Program" - Iowa")