Vaccine Plans


 

The following vaccine plans form are required for any individual who is opting to vaccinate with ANY variance from the CDC schedule. Individuals following the CDC schedule DO NOT NEED to fill out a plan. IPHC staff and NPs do not endorse any alternative schedules, which is why we ask you to complete this based on your own preferences. At the top you can select the appropriate option based on your vaccine choices.

Based on your child’s age, select the form below, one per child. You can enter any previous doses if on a catch-up schedule, or if unimmunized or needing future doses, place the date or age of child when you want to receive those vaccines. Please note vaccines have many rules and spacing requirements, so make sure to take your time and click the embedded links in the document to time them appropriately.

Birth-6 year old click here to download, print or save a copy.
7-11 year old click here to download, print or save a copy.
12-18 year old click here to download, print or save a copy.

When your plan is complete, email it to IPHCadmin@myupdox.com      

What we offer

Services

Location
Integrative Pediatric Health Care
3540 S. Poplar St., Suite 202
Denver, CO 80237
Phone: 720-442-3615
Fax: 720-870-3726
Office Hours

Get in touch

720-442-3615