Model Standing Orders

Vaccine Dosage and Administration

• Vaccine Dosage Chart (CDC)
• Dosing and Administration of FluMist®

Model Standing Orders (MSOs)

• Diphtheria/Tetanus Toxoids, Acellular Pertussis Vaccine 
• Emergency Treatment 
• General Protocols for Vaccine Storage, Administration, Standing Orders and Mass Immunization Clinics (PDF) 
• Recommendations for Drawing Up Vaccines (PDF) 
• Hepatitis A Vaccine, Inactivated (PDF) 
• Hepatitis B Vaccine 
• Haemophilus b Conjugate Vaccine (Hib) 
• Human Papillomavirus (HPV) Vaccine 
• Immune Globulin (Human) USP (PDF) 
• Immune Globulin (Human) USP For Hepatitis A Postexposure Prophylaxis (PDF) 
• Inactivated Poliomyelitis Vaccine (IPV) 
• Influenza
  • Seasonal Flu LAIV 
  • Inactivated Seasonal Flu Vaccine (TIV) 
• Measles, Mumps and Rubella (MMR) (PDF) 
• Meningococcal Polysaccharide Vaccine (PDF) 
  (Groups A, C, Y and W-135 Combined)
• Meningococcal Quadrivalent Conjugate Vaccine (MCV4) 
• Pneumococcal Conjugate Vaccine 13-Valent (PCV13) (PDF) 
• Pneumococcal Polysaccharide Vaccine 23-Valent (PPV23) (PDF) 
• Rotavirus Vaccine 
• Tetanus and Diphtheria Toxoids (Td) and (DT) (PDF) 
• Tetanus, Diphtheria and Acellular Pertussis (Tdap) Vaccine (PDF) 
• Varicella Vaccine 
• Zoster Vaccine 

MSO Screening Tools

• Adult Immunization Screening Tool (PDF) 
• Human Immune Globulin Information Sheet (PDF) 
• Hepatitis A Screening Tool (PDF) 
• Screening Questionnaire for Inactivated Injectable Influenza Vaccination (PDF)
  • Spanish (PDF)
• Screening Questionnaire for Live Attenuated Intranasal Influenza Vaccination (PDF)
  • Spanish (PDF)

This information is provided by within the Department of Public Health.