Immunization Clinic – Coles County

Hours of Operation: M-F 8:30 AM – 4:30 PM
Handicapped Accessible

See the YouTube Video!

Program offers vaccines at a minimal fee to all Coles County residents.
No child will be turned away due to inability to pay.

Ages Served: Birth to adult

No Eligibility Restrictions
Child Vaccination Packets
Adult Vaccination Packets
Available Immunizations

Appointments are necessary

Call for more information
(217) 348-0530 Charleston
(217) 234-2500 Mattoon
Fax: (217) 348-5321

For our programs that charge a fee, we gladly
accept Cash, Check, Visa, Mastercard, or Discover.
We can also bill some insurance companies for
covered vaccinations. Bring  your insurance
information with you.

Get an idea of the recommended vaccinations for your child, now!

Child Forms (Birth - 18 years) Joint Notice (pdf) Consent and Acknowledgement (pdf) Vaccine Administration Records (pdf) Screening Questionnaire (pdf) Complete and bring to clinic NEW Patient Eligibility Screening Record (pdf) Complete and bring to clinic Cornerstone Consent Form (pdf) Complete and bring to clinic Lead Risk Assessment Questionnaire (pdf)  en español (pdf) Lead Test Consent Form (pdf)   Useful Links CDC Vaccine Information Statements (VIS)

Adult Forms (19 years and older) Joint Notice (pdf) Consent and Acknowledgement (pdf) Vaccine Administration Records (pdf) Screening Questionnaire  (pdf) Complete and bring to clinic NEW Cornerstone Consent Form (pdf) Complete and bring to clinic Useful Links CDC Vaccine Information Statements (VIS)

Available Immunizations

Links

CDC Vaccines & Immunizations

CDC Vaccine Information Statements (VIS)

FDA Kids' Site - All About Vaccines

Illinois Department of Public Health