Max The Vax Provider Tools Order Form

Please let us know what free tools you would like us to send you by selecting the languages and quantities below. Thank you for helping to Max the Vax for kids in Nebraska!

Practice or Hospital Name(Required)

Practice or Hospital Mailing Address(Required)

Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Contact Name

Email(Required)

Phone(Required)

Max the Vax Posters (8.5 x 11 inches)

English

5 posters

10 posters

20 posters

Spanish

5 posters

10 posters

20 posters

Arabic

5 posters

10 posters

20 posters

Karen

5 posters

10 posters

20 posters

Max the Vax Posters (11 x 17 inches)

English

5 posters

10 posters

20 posters

Spanish

5 posters

10 posters

20 posters

Arabic

5 posters

10 posters

20 posters

Karen

5 posters

10 posters

20 posters

Parent Handout (8.5 x 11 inches)

Answers for Parents About COVID-19 Vaccinations for Kids

English

25 handouts

50 handouts

75 handouts

Spanish

25 handouts

50 handouts

75 handouts

Arabic

25 handouts

50 handouts

75 handouts

Karen

25 handouts

50 handouts

75 handouts

Max the Vax Wallet Card (3.5 x 2 inches)

English

50 cards

100 cards

200 cards

Max the Vax Sticker (Peace Out COVID!)

English

5 sheets

10 sheets

15 sheets

Max the Vax Sticker (Dog-Gone Good to be COVID Vaxed)

English

5 sheets

10 sheets

15 sheets

Max the Vax Sticker (I Maxed the Vax Against COVID)

English

5 sheets

10 sheets

15 sheets

Max the Vax Sticker (Max the Vax)

English

5 sheets

10 sheets

15 sheets

See our list of providers in support of kids being vaccinated. To be added to the list, please sign the statement of support.