Immunizations are available

Walk-ins: (No Appointment Necessary)  M, T, Thurs, F, 10 a.m. - 4 p.m.

By Appointment: Wednesdays  10 a.m. - 4:30 p.m.

Call:  406-258-3363 to schedule

Forms

The following forms are recommended to be completed before coming in for vaccination. 

COVID-19 Vaccine Screening Checklist

Vaccine Screening Checklist

Release of Information- From MPH

Release of Information -To MPH

Demographic Information

If the child is an unaccompanied minor (above the age of 15) or being accompanied by someone other than a legal guardian (third party), these forms are required to be filled out completely and signed.

Third Party Authorization Packet - This is for a parent/legal guardian authorizing another adult to bring their child to the clinic.

 Unaccompanied Minor Packet - This is for a parent/legal guardian to give authorization for their 15 - 17 year old adolescent to receive services at the clinic without an adult present.

 

What to Bring to Your Appointment

  • Records - Unless the Health Department is your child's usual provider of vaccinations, you must either bring the vaccination records with you or have them faxed to (406) 258-4913.

  • Insurance Card - Call your insurance provider in advance to make sure they cover vaccines provided at the Missoula City-County Health Department.  Dependent on family income, children who do not have insurance or have high deductibles may be charged at a lower rate or no cost.

  • Photo ID - Acceptable forms of ID:  current drivers license, state ID card, or passport.  (parent or legal guardian)

Vaccine Record Information

  • Consenting adult or Parent/Legal Guardian may complete the following Release of Information to have MCCHD release records from our clinic or the State registry (imMTrax).  Include a copy of a valid photo ID. 

  • Please fax the Release of Information authorization to the Health Department at (406) 258-4913.  Please allow up to 3 business days for MCCHD to release records. 

  • Records can be faxed, mailed, picked up in person, or emailed via encrypted email. 

For more information, please call us at (406) 258-3363. We are happy to help.