Vaccine Model Standing Orders

Implementing standing orders in your practice can empower other health care personnel to administer vaccines and increase vaccination rates.

Standing orders are written protocols, approved by a physician or other authorized practitioner, that authorize nurses, pharmacists or other health care personnel (where allowed by state law) to:

  • Assess a patient’s need for vaccination
  • Administer the vaccine without a clinician’s direct involvement with the individual patient at the time of the interaction

The Model Standing Orders below are written either by the Massachusetts Department of Public Health or the Immunization Action Coalition. Refer to Using Standing Orders for Administering Vaccines: What You Should Know for general guidance on standing orders.

Table of Contents

Diphtheria, Tetanus, Acellular Pertussis

Hepatitis A

Hepatitis B

Haemophilus Influenzae Type B

Human Papillomavirus


Measles, Mumps, and Rubella

Medical Management of Vaccine Reactions

Meningococcal Vaccines

Pneumococcal Vaccines



Tetanus-Diphtheria Toxoids and Pertussis