Pharmacy Residency (PGY1)
Post Natal Nurse Home Visitor Program

Mobile Immunization Van Application

To help us plan effectively and ensure the best experience possible, please submit your request at least six to eight weeks before your event date. This allows our team time to review, coordinate internally, and determine how we can best support your event.

*If you would like to request additional Parkland education and resources at your event, please visit our community health fair page.

*indicates required field

Please review the eligibility criteria on the Mobile Immunization webpage before submitting your request. Flu vaccination requests are accepted during flu season only. Incomplete forms may delay review. Please be prepared to provide promotional materials with your submission.

Organization and Contact Information



Event Overview



Event Details





Immunization Request



Logistics and Support


 

*If you would like to request additional Parkland education and resources at your event, please visit our community health fair page.



Additional Information