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The overall goal of Head Start is to bring about a greater degree of social competence in the young children of low-income families.
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Immunization Program


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Attention all: there is some questions popping up regarding the new Immunization regulations that the CDC and Federal Government will be implementing on October 1st, 2012. Northeast Nebraska Community Action Partnership will be affected by this change. We will only be able to give Immunizations to those children who have no health insurance, who are utilizing Medicaid, those who are American Indian/Alaska Native or those under-insured. Under-insured means that a person may have health insurance but the coverage does not include immunizations. Please contact Northeast Nebraska Community Action Partnership with questions or concerns.

The following forms are paperwork you can have completed and printed off before you get your immunizations at one of our clinics.  You will need the free version of Adobe Reader on you computer to view these forms.  Click Here if you do not have the free version of Adobe Reader downloaded on your computer.


Flu Shots are Available!


Basic Intake Form   

Click Here in English  Click Here in Spanish

Proxy Form

Click Here in English

Privacy Information Form (HIPPA Form)

Click Here in English  Click Here in Spanish 

Screening Questionnaire

Click Here  in English   Click Here  in Spanish

Inactivated Injectable Influenza Vaccination

Click Here in English   Click Here in Spanish

Intranasal Influenza Vaccination

Click Here  in English   Click Here in Spanish


Please call for information on how you as a parent/guardian can access your child's immunization record.


Contact Us:
Northeast Nebraska Community Action Partnership

Physical address - 603 Earl St
Mailing address - PO Box 667
Pender, NE 68047-0667
Phone number: (402) 385-6300
FAX number: (402) 385-6310


Immunizations are available by appointment only in Norfolk two days per month.  The office is located on 1405 Riverside Blvd. in Norfolk, NE.  You can make appointments by calling 402-379-1380.

The Immunization Program conducts Immunization clinics each month in 12 of our 14 counties in the service area. The clinics are open to the public and there are no income guidelines. A Licensed Nurse administers the vaccinations and a Physician is on-call during clinic hours. Appointment and donation information can be obtained by calling the central office (402) 385-6300. No One is denied immunizations for inability to pay.

Child and adolescent vaccinations offered through the program:

  • IPV (Polio)
  • DtaP (Diptheria, Tetanus and Pertussis)
  • Td and Diptheria Tdap (Tetanus, diphtheria and Pertussis)
  • MMR (Measles, Mumps and Rubella)
  • Hib ( Haemophiles Influenza B)
  • HAV (Hepatitis A)
  • HBV (Hepatitis B)
  • Pentacel-DtaP, Hib, and Polio
  • Varivax-Varicella (Chicken Pox)
  • Rotateq-Rotavirus (age requirement)
  • MCV4-Menactra (Meningitis)
  • PCV13 Pneumovcoccal (Prevnar)
  • Kinrix-DtaP and Polio (age requirement) age 4-6
  • Gardasil-HPV (cervical cancer) age 11-18**must be VFC eligible
  • Influenza-age 6 months-18 years **must be VFC eligible

The Immunization Program has expanded its Adult Vaccine Program.  The following adult vaccinations are offered for a fee:

  • Polio $35.00
  • Hepatitis A- $30.00
  • Hepatitis B- $35.00
  • MMR- $68.00
  • Tdap-$10.00
  • TB Testing-$10.00
  • Lead Testing $10.00



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