Immunizations

• Forms
  You can print and complete forms in advance and bring them with you to your visit. This will help speed up the check-in process. Otherwise, we will ask you to fill these forms in when you arrive.
  • Clinic Registration Form
  • Screening Questionnaire
• Records
  Unless the Health Department is your usual provider of vaccinations, you must either bring the vaccination records with you or have them faxed to (406) 258-4913.
• Insurance Card
  Please check with your insurance company to make sure Missoula City County Health Department is in-network. We are currently unable to bill United Healthcare, Tri-Care, and some Medicare Advantage Plans.
• Photo ID 
  Acceptable forms of ID: Current drivers license, state ID card, or passport.

As a local health department immunization clinic, we participate in the federal Vaccine for Children and Vaccine for Adults programs. This allows us to provide most routine vaccines at no cost to eligible* clients (*ex. uninsured) while using a sliding fee scale to determine a reduced cost vaccine administration fee.

We are able to bill most insurances for routine immunizations. Call your insurance provider in advance to make sure they cover vaccines provided at Missoula City County Health Department. We are currently unable to bill United Healthcare, Tri-Care, and some Medicare Advantage Plans.

Ask about a payment plan for any services that are not covered by insurance or that don’t qualify for the Vaccine for Children program, or Vaccine for Adults program.

Third Party Authorization

Parent/legal guardian to give authorization to a third party (ex. grandparent) to bring their child to the clinic to receive services.

• Fill out and bring the Authorization Packet