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Forms and Publications  - Other Languages

To download electronic copies of each material, click on the links below. To order hard copy materials, go to Order Materials from the Department of Printing or How to Order Immunization Materials.

Forms (things to fill out)

Certificate of Exemption (Oct. 2008) Albanian (PDF, 50KB) Arabic (PDF, 124 KB) Bosnian (PDF, 69 KB)
  Cambodian (PDF, 84 KB) Chinese (PDF, 93 KB) French (PDF, 50 KB)
  Haitian Creole (PDF, 50 KB) Hmong (PDF, 41 KB) Japanese (PDF, 106 KB)
  Korean (PDF, 137 KB) Laotian (PDF, 100 KB) Portuguese (PDF, 50 KB)
  Punjabi (PDF, 63 KB) Russian (PDF, 111 KB) Somali (PDF, 50 KB)
  Tagalog (PDF, 50 KB) Thai (PDF, 97 KB) Urdu (PDF, 96 KB)
  Vietnamese (PDF, 82 KB)    
       
Certificate of Immunization Status (Oct. 2008) Albanian (PDF, 101 KB) Arabic (PDF, 194 KB) Bosnian (PDF, 121 KB)
  Cambodian (PDF, 138 KB) Chinese (PDF, 150 KB) French (PDF, 101 KB)
  Haitian Creole (PDF, 100 KB) Hmong (PDF, 103 KB) Japanese (PDF, 185 KB)
  Korean (PDF, 201 KB) Laotian (PDF, 184 KB) Portuguese (PDF, 103 KB)
  Punjabi (PDF, 117 KB) Russian (PDF, 172 KB) Somali (PDF, 103 KB)
  Tagalog (PDF, 103 KB) Thai (PDF, 165 KB) Urdu (PDF, 161 KB)
  Vietnamese (PDF, 137 KB)    
       
Sample Parent/Patient Notice

Amharic
PDF (72 KB)
Word (44 KB)

Arabic
PDF (80 KB)
Word (44 KB)

Chinese
PDF (101 KB)
Word (43 KB)

 

Khmer
PDF (39 KB)
Word (57 KB)

Korean
PDF (124 KB)
Word (46 KB)

Punjabi
PDF (34 KB)
Word (48 KB)

 

Russian
PDF (89 KB)
Word (47 KB)

Somali
PDF (29 KB)
Word (44 KB)
Tagalog
PDF (33 KB)
Word (42 KB)
  Ukrainian
PDF (81 KB)
Word (43 KB)
Vietnamese
PDF (48 KB)
Word (47 KB)
 
 

Brochures, Flyers and Posters (things you can print or order)

 
Flu Facts flyer Cambodian Chinese Korean
  Russian Vietnamese  
       
Immunizations: A Guide to Protecting Your Child brochure Russian Vietnamese  
 
Hepatitis B Information for Adults and Children From Endemic Areas Amharic Arabic Cambodian
  Chinese Farsi Hmong
  Korean Laotian Russian
  Somali Tygrinya Vietnamese
 
Hepatitis B Prevention: What Asians and Pacific Islanders Need to Know Cambodian (PDF, 6 MB) Chinese (PDF, 7 MB) Korean (PDF, 7 MB)
  Laotian (PDF, 8 MB) Samoan (PDF, 6 MB) Tagalog (PDF, 6 MB)
  Vietnamese (PDF, 6 MB)    
 
Hepatitis B Prevention: Asians and Pacific Islanders Information poster Cambodian (PDF, 725 KB) Chinese (PDF, 2 MB) Korean (PDF, 952 KB)
  Laotian (PDF, 775 KB) Vietnamese (PDF, 536 KB)  
 
Perinatal Hepatitis B brochure Cambodian Chinese Korean
  Samoan Vietnamese  
 
Start Protecting Your Baby at Birth with Hepatitis B Vaccine brochure Vietnamese    

 

Last Update: 10/16/2009 12:39 PM