Support the Adult Standards

Use this Form to Indicate Your Official Support of NVAC’s “Standards for Adult Immunization Practice”

If your organization is interested in supporting the Standards, but would like to receive more information about this step, please email us at info@izsummitpartners.org.

* indicates required field
Contact Information
Organization*
Type of Organization (choose one)*
- Professional society or organization
- Federal agency
- State or local health department
- Academic institution
- Community immunizer
Name*
First Last
Title*
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Enter Email Confirm Email
Phone*
Confirm Your Organization's Support of the Standards
Check box below
- My organization supports NVAC's Standards for Adult Immunization Practice.
How Your Organization Supports the Standards
In the space below, briefly share with us the specific ways your organization supports the Standards. (Note: With your permission, this information will be included on the NAIIS website.)
File Upload (if applicable, share related documents and files)
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Max. file size: 1,000 MB.
List of Organizations Supporting NVAC’s Adult Standards
- Yes. Update the NAIIS website with my organization's name and related information.

Use this Form to Indicate Your Official Support of NVAC’s “Standards for Adult Immunization Practice”

Contact Information

Confirm Your Organization's Support of the Standards

How Your Organization Supports the Standards