Fellow Missoulians—help us conserve PPE while preventing the spread of COVID-19. When visiting our clinic, please wear a cloth face covering, or as we like to call it—community protective equipment.
For more info, Click on the hyperlink: Use of Cloth Face Coverings to Help Slow the Spread of COVID-19
Immunizations are available by appointment only
Same day appointments are available
Monday through Friday 9 - 5 pm
Closed during the lunch hour from 12 - 1 pm
The following forms are recommended to be completed before coming in for vaccination.
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
- Forms - Please bring your completed forms (as listed above) or email them at least one day in advance to email@example.com
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 on file are either faxed or mailed. Record pick-up is unavailable at this time.