Contact the Immunization Program

This online form is provided as a way of contacting the West Virginia Immunization Program. Please feel free to send any questions, comments, suggestions, etc.

If you are a birthing center who would like to receive and distribute our free packets or are a business who would like to have their material considered for inclusion into the packets, please complete the form below and an immunization representative will contact you.

Your name

Name of organization (if applicable)

Contact Person (if applicable)

Telephone Number

County

City

State

Email Address

Please describe your request