Adaptive Vaccination Solutions

Sanofi Pasteur

ADAPTIVE VACCINATION SOLUTIONS At Sanofi Pasteur, our commitment is simple— empowering our partners to focus on quality care, while we provide support to help simplify the business of vaccines. Together, we can maximize vaccination impact and achieve practice success.

With the emergence of COVID-19 and a “new normal” we must adapt and rethink how patients receive routine care, including CDC-recommended vaccinations. It is important patients go to their medical home to ensure that they receive other preventive or psychosocial services that may have been deferred during the COVID-19 pandemic. This is why we’ve developed this Adaptive Vaccination Solutions guidebook. Because helping to protect patients from vaccine- preventable disease is now more important than ever. ADAPTIVE VACCINATION SOLUTIONS Clinic Considerations

Here are some important considerations for choosing the appropriate alternative vaccination solution for you and your office:

1 Appointments vs 3 Staffing Needs Allowing Walk-Ins — H olding alternative immunization clinics may draw more patients than your practice — Appointments allow you to better control the is accustomed to seeing in a single day; patient flow, but may be different than what ensure you not only have enough staff your patients are accustomed to, especially on hand, but that they are comfortable for an in-office walk-thru clinic interfacing with a high volume of patients — If you are thinking about running a drive- — E nsure that your practice has the thru clinic, consider separate lanes for those recommended personal protective with appointments and those without if you equipment available to accommodate decide to offer both options all of your employees — Appointments also allow you to review — If holding several clinics on different days, patients’ vaccination records beforehand, either drive-thru or walk-thru, consider inform them of any CDC-recommended reducing the burden by alternating staff vaccines they are due for on this visit, and to give everyone a well-deserved rest encourage them to get vaccinated all in one visit. Walk-ins still allow you to check records, and time should be set aside 4 Drive-Thru Logistics for the vaccination discussion, though follow- — If your office’s parking lot is not large up appointments may become necessary enough to hold a drive-thru clinic, consider partnerships with other offices 2 Inventory Management or organizations (eg, sports teams with large stadiums) — If you have multiple vaccines on hand for different patient types, ensure that inventory — C heck with your insurance company aligns with your appointment flow or payer to ensure the location you choose does not pose any problems — If using the Vaccines for Children (VFC) with reimbursement program, remember to review your inventory and order more vaccines if — R eview and discuss your practice’s liability necessary. Should patients’ insurance coverage and other applicable policies to status change, remember to communicate identify potential hazards and help ensure additional vaccine options available with employee safety the VFC program — W ork with your sales representatives to 5 Billing and coordinate shipping and make sure you are receiving the appropriate quantity Reimbursement needed in a timely fashion — If you are considering running an alternative immunization clinic, it’s important to make — If holding a drive-thru clinic, ensure you sure you have the right tools to process are able to properly set up refrigerator, payment and billing, especially if doing cooler, and cold chain units to store and a drive-thru clinic handle vaccines; consider generators and electrical outlet locations Click the buttons below to access modules designed to provide tailored guidance and useful resources to help you confidently adapt and implement different ways of immunization administration in this new environment.

PLEASE WAIT HERE

One-Stop Shot One-Stop Shot Clinic Checklist Walk-Thru Drive-Thru and Goal Tracker Immunization Clinic Immunization Clinic

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Telehealth Best Practices for Resource Vaccine Acceptance LEARN MORE Links

Adaptive Immunization That Empowers Us All

Helping to protect patients is now more important than ever. The emergence of COVID-19 has brought uncertainty and a “new normal” that requires adaptation and rethinking of how patients receive routine care. As the worldwide leader devoted entirely to human vaccines, we’re here to deliver a comprehensive clinic kit that empowers you to focus on helping to protect your patients through alternative and adaptive immunization approaches.

SPONSORED BY ONE-STOP SHOT WALK-THRU IMMUNIZATION CLINIC

You may find that you and your staff face barriers to traditional immunization methods, including logistical flow and patient concerns around unnecessary exposure to COVID-19. Holding a one-way walk-thru immunization clinic empowers you to provide patients the opportunity to get CDC-recommended vaccinations while adhering to the recommended physical distancing and congregation guidelines. It’s important to remind patients to adhere to the CDC immunization schedule for their age group to help protect against a variety of vaccine-preventable diseases, by getting vaccinated. This module is split into 3 key platforms: PLAN, PREPARE, and PERFORM. Each covers a different aspect of running a one-way foot traffic vaccination clinic: clinic guidance and logistical flow, patient outreach, and office preparation and signage. Together, they form a comprehensive plan that will enable you to run a successful clinic.

PLEASE WAIT HERE

To print the One-Stop Shot Walk-Thru Immunization Clinic section, PRINT PAGES 6-28, or either VISIT VACCINESHOPPE.COM® or contact your Sanofi Pasteur Representative to request printed materials. ONE-STOP SHOT WALK-THRU IMMUNIZATION CLINIC PLAN

The first step is to prepare your office and staff for running the clinic, with logistical guidance and protocol training. The clinic guidance document provides step-by-step instructions for appointment setting dialogue, preappointment preparation, and during/ after immunization protocol. We’ve developed a logistical roadmap outlining how to set up each station and a proposed flow patients should follow to help minimize time in office and exposure to other patients and office staff.

1 Clinic Guidance and Logistical Blueprint

Examples

To print the Clinic Guidance and Logistical Blueprint, PRINT PAGES 7-9, or either VISIT VACCINESHOPPE.COM® or contact your Sanofi Pasteur Representative to request printed materials. One-Stop Shot Walk-Thru Immunization Clinic

With the ongoing COVID-19 pandemic, it’s more important than ever to help protect patients against diseases that we currently have vaccines for. It’s important to remind them that they should adhere to the CDC immunization schedule for their age group, as vaccination is one of the best ways to help protect themselves. In these uncertain times, patients may have hesitations around in-office visits, but immunization is paramount.

SOLUTION: Hold a walk-thru immunization clinic so you can provide patients with the opportunity to get CDC- recommended vaccinations while adhering to the recommended physical distancing and congregation guidelines, ensuring separation between sick and healthy patients, and helping to limit traffic flow through your office. PLEASE WAIT HERE See the materials checklist providedSee the materials Here you will find general Planning Tips planning tips, logistical considerations, and a clinic site blueprint and patient Know Have a plan in place to maintain flow map. the Flow traffic flow, from entrance to exit

We’ve broken it down into step-by-step instructions for Have the Use the materials checklist provided 3 phases: Right Tools as a starting point to ensure you have all the items needed to run PLAN the clinic 1 Making the Appointment Patient Provide documentation of vaccine Proof administration to all recipients at PREPARE time of vaccination 2 Getting Ready for the Appointment Have a Ensure backup plans are in place PERFORM Backup in case of late arrivals or delays 3 During the Plan Appointment One-Stop Shot Walk-Thru Immunization Clinic

1 PLAN: Making the 2 PREPARE: Getting Ready Appointment for the Appointment Verify Patient Insurance Status Before the Patient Arrives • Ask patient to email or fax a copy of • Pull the Vaccine Information their insurance card, if not on record Statement (VIS) sheet previously, and let them know about • Review CDC guidelines for proper any contactless checkout procedures handling and storage methods: your office has instituted https://www.cdc.gov/vaccines/hcp/admin/ Review Patient Immunization Records and storage/index.html Identify CDC-recommended Upcoming • Prepare the appropriate vaccine(s) and all or Missed Vaccinations needed immunization supplies • Take full advantage of available — Bandages (spot or rectangular) state immunization registry and — Sharps container ensure the patient’s information — Alcohol wipes and sanitizing products is updated in the system — Paper towels • Discuss the risks and benefits and — Cotton balls or sterile gauze pad review contraindications with patient — Thermometer • Inform patient of all vaccinations they are • Create an encounter in your due for, and the importance of adhering EHR/state registry or paper chart to the CDC immunization schedule to document immunization • Reinforce the message that it’s now • Put on appropriate personal more important than ever to help protect protective equipment themselves against diseases that we currently have vaccines for, and one of the best ways to do that is to get vaccinated 3 PERFORM: During Communicate necessary the Appointment day of considerations Confirm Patient Information • If administering vaccines to pediatric/ • Provide the VIS sheet and explain how adolescent patients, ensure you ask the patients should navigate the clinic, along parent or caregiver to dress the child in with a reminder of how your office is running clothes that allow easy access to legs and/ contactless checkout if you’ve instituted or arms to make certain vaccines easier to such a procedure administer Administer the Vaccine Review Office Safety Protocols If the Patient Is Driving • Inform patients of the measures taken to help • Ask them to remain in the parking lot for ensure their safety, and remind them to wear 15 minutes and recheck prior to discharge appropriate personal protective equipment Document Vaccinations According and to remain in their vehicle, or at a safe to Standard Procedures distance from others outside the facility upon arrival, and until their appointment time to avoid unnecessary crowds Set Appointment Time and Provide Directions to the Clinic Site One-Stop Shot Walk-Thru Immunization Clinic Logistical Flow

This blueprint offers guidance for how to set up the clinic site, including station descriptions and the proposed patient flow. Depending on your office setup, you can utilize exam rooms, nurses stations, and staff desks for different stations.

ENTRANCE Intake Station 1 Patient Queue Verify patient appointment and Ensure proper encourage entrance only at the distancing during scheduled appointment time intake

Intake Station 2 Verify patient information and communicate with immunization station to prepare vaccine(s). Use this opportunity to check the patients’ record and recommend additional vaccines that have been missed or are due

Immunization Station Administer vaccine(s)

Holding Station If immunized patient is driving, consider holding them for 15 minutes of observation before discharge. Depending on the setup of your office or clinic, you can set aside a separate exam room as a holding station or hold them where they receive the immunization

Straight to Exit If immunized patient is not driving, they EXIT may proceed straight to the exit ONE-STOP SHOT WALK-THRU IMMUNIZATION CLINIC PREPARE

This platform serves to help you and your staff with patient outreach. Personally connecting with your patients is key in reinforcing trust and vaccine acceptance, ultimately setting your clinic up for success. We’ve provided you with messages to use in multiple channels, including telephone, email, EHR/health portal, and text/social media. You can use your own recall system or WellConnect, Sanofi Pasteur’s recall system. These messages cover 4 topics: a one-way walk-thru clinic announcement, office preparation and adaptation protocol, reassurance of the importance of well and sick visits, and both pediatric/adolescent and adult vaccination importance reminders, including adherence to the CDC immunization schedule for their age group.

1 Telephone Patient Outreach Communications

2 Email Patient Outreach Communications

3 EHR/Health Portal Patient Outreach Communications 4 Text/Social Media Patient Outreach Communications

Examples

Telephone EHR/Health Portal Patient Outreach Patient Outreach Communications Communications

One-Way Walk-Thru One-Way Walk-Thru 1 Clinic Information 1 Clinic Information

Hello, this is [Name]. Subject Line: I’m calling to let you know that We’re holding a one-way walk-thru immunization [Office Name] will be holding a one-way clinic—schedule your appointment now. walk-thru immunization clinic on [Date] at Hello, [Location]. We know you may not be We will be holding a one-way walk-thru comfortable coming into the office for immunization clinic on [Date] at [Location]— vaccination during these uncertain times, Email Text/Social Media allowing you to get CDC-recommended but it’s now more important than ever to Patient Outreach vaccinations quickly and ensure you have Patient Outreach adhere to the CDC immunization schedule minimal contact with other patients and staff. Although you may not be comfortable for your age group to help protect against Communications coming into the office for vaccination during these uncertain times, it’s now more Communications a variety of vaccine-preventable diseases. important than ever to adhere to the CDC immunization schedule for your age group One of the best ways to do that is to get in order to help protect against a variety of vaccine-preventable diseases for which vaccinated, and we want you to feel we have vaccines. One of the best ways to do that is to get vaccinated, and we want comfortable doing so. One-Way Walk-Thru One-Way Walk-Thru 1 Clinic Information you to feel comfortable doing so. 1 Clinic Information The one-way walk-thru immunization clinic provides you the opportunity to receive Subject Line: Staff will wear personal protective equipment and follow all CDC guidelines to ensure HELP PROTECT YOURSELF. CDC-recommended vaccinations quickly We’re holding a one-way walk-thru immunization clinic— safety for both you and our staff. GET YOUR NECESSARY VACCINATIONS. and ensures you have minimal contact schedule your appointment now. We want you to feel comfortable getting your with other patients and staff. Staff will wear Please email or fax a copy of your insurance card to us before the appointment, if not CDC-recommended vaccinations according personal protective equipment and follow Hello, already on record, to ensure minimal contact and smooth operation. If you have any to your age group’s CDC immunization all CDC guidelines, especially cleaning During these unprecedented times, it is more important than ever to do what you questions, or if you would like to schedule your one-way walk-thru immunization clinic schedule. So we will be holding a one-way safeguards, to help ensure safety for both can to help protect yourself against diseases that we currently have vaccines for, appointment, please give us a call at [Office Number] between the hours of [Office Hours]. walk-thru immunization clinic on [Date]. you and our staff. and that means making sure you’re up-to-date with all vaccinations. We know Contact us for more information. To ensure minimal contact and smooth you may not be comfortable coming into the office for vaccination during these Sincerely, uncertain times, but it’s now more important than ever to adhere to the CDC operation, we will ask you to email or fax [HCP/Office Staff] immunization schedule for you age group to help protect against a variety of a copy of your insurance card to us before [Practice Name] GET YOUR NECESSARY VACCINATIONS the appointment, if it is not already on vaccine-preventable diseases for which we have vaccines. One of the best AT THE ONE-WAY WALK-THRU CLINIC. record. Call us back at [Office Number] ways to do that is to get vaccinated, and we want you to feel comfortable doing so. We will be holding a one-way walk-thru between the hours of [Office Hours] to This is why we will be holding a one-way walk-thru immunization clinic on [Date] immunization clinic on [Date] so you can schedule your appointment or if you have at [Location]. We want to provide you the opportunity to get CDC-recommended get your CDC-recommended vaccinations any additional questions. vaccinations quickly and ensure you have minimal contact with other patients and quickly and ensure you have minimal contact Thank you! Goodbye. staff. Our staff will of course be wearing personal protective equipment, and following with other patients and staff. Contact us for CDC guidelines to ensure your safety and ours. more information. Call us at [Office Number] to schedule your appointment now. To ensure minimal contact and smooth operation, we will ask you to email or fax a copy of your insurance card to us before the appointment, if it is not already on record. YOUR NECESSARY VACCINATIONS ARE AROUND THE CORNER. If you have any questions or if you would like to schedule your one-way walk-thru immunization clinic appointment, please give us a call at [Office Number] between A new one-way walk-thru immunization clinic the hours of [Office Hours]. is opening near you. So you can get your CDC-recommended vaccinations according Sincerely, to your age group’s CDC immunization schedule quickly and ensure you have [HCP/Office Staff] minimal contact with other patients and staff. [Practice Name] Call to make an appointment.

To print the Patient Outreach Communications, PRINT PAGES 11-26, or either VISIT VACCINESHOPPE.COM® or contact your Sanofi Pasteur Representative to request printed materials. Telephone Patient Outreach Communications

One-Way Walk-Thru 1 Clinic Information

Hello, this is [Name]. I’m calling to let you know that [Office Name] will be holding a one-way walk-thru immunization clinic on [Date] at [Location]. We know you may not be comfortable coming into the office for vaccination during these uncertain times, but it’s now more important than ever to adhere to the CDC immunization schedule for your age group to help protect against a variety of vaccine-preventable diseases. One of the best ways to do that is to get vaccinated, and we want you to feel comfortable doing so. The one-way walk-thru immunization clinic provides you the opportunity to receive CDC-recommended vaccinations quickly and ensures you have minimal contact with other patients and staff. Staff will wear personal protective equipment and follow all CDC guidelines, especially cleaning safeguards, to help ensure safety for both you and our staff. To ensure minimal contact and smooth operation, we will ask you to email or fax a copy of your insurance card to us before the appointment, if it is not already on record. Call us back at [Office Number] between the hours of [Office Hours] to schedule your appointment or if you have any additional questions. Thank you! Goodbye. Telephone Patient Outreach Communications

Office Preparation General Reassurance 2 3 and Adjustments of Importance of Visits

Hello, this is [Name]. and Vaccinations I’m calling from [Office Name] and wanted Hello, this is [Name] from [Office Name]. to reach out to let you know that our I wanted to reach out and reassure you that practice’s number 1 priority is your safety, our practice’s number 1 priority is your safety, well-being, and peace of mind. well-being, and peace of mind. To minimize You may be uncomfortable with the idea exposure to the COVID-19 virus and avoid of well visits or, more importantly, visits for overloading the health system, many people new or existing ailments, but we encourage have put off coming in for well visits, as well you to still make an appointment. We are as new or recurring ailments. taking all necessary steps to ensure our While we understand these hesitations, office is ready for your visit, focusing on we are here for you, your family, your safety, strict sanitation and safety methods for all and, of course, your health. It’s now more staff and visiting patients. We also have important than ever to adhere to the CDC instituted new hours of [Days/Hours] and immunization schedule for your age group have reserved [Days/Hours] for our older to help protect against a variety of vaccine- and at-risk patients to minimize exposure. preventable diseases. One of the best ways If you have any questions about any of the to do that is to get vaccinated. To better new guidelines or would like to schedule an navigate these uncertain times, our office appointment, please call our office back has now instituted new guidelines for all at [Office Number] between the hours of staff and visiting patients. Don’t put off [Office Hours]. coming into the office—call to make an appointment instead. Thank you! If you have questions about any of the new guidelines or would like to schedule an appointment, including vaccinations, please call our office back at [Office Number] between the hours of [Office Hours]. Thank you!

Telephone Patient Outreach Communications

Adult Vaccination Pediatric/Adolescent 4a 4b Importance Reminder Vaccination Importance

Hello, this is [Name] from [Office Name]. Reminder I am calling to remind you that during these Hello, this is [Name] from [Office Name]. unprecedented times, it’s very important I am calling to remind you that during these to do what you can to help protect yourself unprecedented times, it’s very important to against vaccine-preventable diseases do what you can to help protect yourself for which we have vaccines, and that and your [child/children] against vaccine- means making sure you’re up-to-date preventable diseases for which we have with all vaccinations. vaccines, and that means making sure For older patients, it’s critical that you receive they’re up-to-date with all vaccinations. all vaccinations according to the CDC It’s important to make sure your children immunization schedule for your age group. are vaccinated against conditions such as Helping to protect yourself is now more tetanus, diphtheria, pertussis, measles, and important than ever, and one of the best meningococcal meningitis. The CDC has put ways to do that is to get vaccinated. We will forth an immunization schedule and adhering be holding a one-way walk-thru immunization to that schedule is critical for your (child’s/ clinic on [Date] at [Location], so you have children’s) health. We will be holding a one- the opportunity to get CDC-recommended way walk-thru immunization clinic on [Date] vaccinations quickly and ensure you have at [Location], so you and your family have minimal contact with other patients and staff. the opportunity to get CDC-recommended Your safety is our number 1 priority, so we also vaccinations quickly and ensure you have have instituted new hours of [Days/Hours] and minimal contact with other patients and staff. have reserved [Days/Hours] for our older and Call us back at [Office Number] to schedule at-risk patients to minimize exposure. your one-way walk-thru immunization clinic Call us back at [Office Number] to schedule appointment, an office visit, or if you have your one-way walk-thru immunization clinic any questions. appointment, an office visit, or if you have Thank you! any questions. Thank you! Email Patient Outreach Communications

One-Way Walk-Thru 1 Clinic Information

Subject Line: We’re holding a one-way walk-thru immunization clinic— schedule your appointment now.

Hello, During these unprecedented times, it is more important than ever to do what you can to help protect yourself against diseases that we currently have vaccines for, and that means making sure you’re up-to-date with all vaccinations. We know you may not be comfortable coming into the office for vaccination during these uncertain times, but it’s now more important than ever to adhere to the CDC immunization schedule for you age group to help protect against a variety of vaccine-preventable diseases for which we have vaccines. One of the best ways to do that is to get vaccinated, and we want you to feel comfortable doing so. This is why we will be holding a one-way walk-thru immunization clinic on [Date] at [Location]. We want to provide you the opportunity to get CDC-recommended vaccinations quickly and ensure you have minimal contact with other patients and staff. Our staff will of course be wearing personal protective equipment, and following CDC guidelines to ensure your safety and ours. Call us at [Office Number] to schedule your appointment now. To ensure minimal contact and smooth operation, we will ask you to email or fax a copy of your insurance card to us before the appointment, if it is not already on record. If you have any questions or if you would like to schedule your one-way walk-thru immunization clinic appointment, please give us a call at [Office Number] between the hours of [Office Hours].

Sincerely, [HCP/Office Staff] [Practice Name]

Email Patient Outreach Communications

2 Office Preparation and Adjustments

Subject Line: Your safety is our number 1 priority.

Hello, We recognize that we are living in unprecedented times, and we wanted to reach out and reassure you that our practice’s number 1 priority is your safety, well-being, and peace of mind. While many might be uncomfortable with the idea of well visits or, more importantly, visits for new or existing ailments, we encourage you to make an appointment. Your health cannot be taken for granted, and we are taking any and all necessary steps to ensure our office is ready for you. While our office has always focused on strict sanitation and safety methods, we have now instituted new guidelines for all staff and visiting patients. [List new guidelines such as all surfaces are wiped down after every patient use, separated seating in waiting room, or patients being escorted directly into exam rooms, etc.] We have a stock of personal protective equipment, and all staff is required to wear masks and gloves at all times. In addition, we have instituted new hours of [Days/Hours] and have reserved [Days/Hours] for older patients (65+) to further minimize exposure. If you have any questions about any of the new guidelines or would like to schedule an appointment, please call our office at [Office Number] between the hours of [Office Hours].

Sincerely, [HCP/Office Staff] [Practice Name] Email Patient Outreach Communications

General Reassurance of Importance 3 of Visits and Vaccinations

Subject Line: Don’t put off your health. Come in for a visit.

Hello, We recognize that we are living in unprecedented times, and we wanted to reach out and reassure you that our practice’s number 1 priority is your safety, well-being, and peace of mind. Many have put off well visits or have been reluctant to come in with new or recurring ailments to minimize exposure to the COVID-19 virus and to not overload the health system. We understand and we want to reassure you that we are here for you, your family, your safety, and, of course, your health. It’s now more important than ever to adhere to the CDC immunization schedule for your age group to help protect against a variety of vaccine-preventable diseases for which we have vaccines. One of the best ways to do that is to get vaccinated. While our office has always focused on strict sanitation and safety methods, we have now instituted new guidelines for all staff and visiting patients. We are fully staffed and ready for you. Health is of the utmost importance, especially now, and we encourage you to call and make an appointment, either for a well visit and CDC-recommended vaccinations or for new or recurring ailments. If you have any questions about any of the new guidelines or would like to schedule an appointment, including vaccinations, please call our office at [Office Number] between the hours of [Office Hours].

Sincerely, [HCP/Office Staff] [Practice Name] Email Patient Outreach Communications

4a Adult Vaccination Importance Reminder

Subject Line: Getting CDC-recommended vaccinations is now more important than ever.

Hello, During these unprecedented times, it is more important than ever to do what you can to help protect yourself against diseases for which we currently have vaccines, and that means getting CDC-recommended vaccinations. For older patients it’s critical that you receive all vaccinations according to the CDC immunization schedule for your age group. Helping to protect yourself is now more important than ever and one of the best ways to do that is to get vaccinated. We are here for you during these uncertain times to provide you the care and service you’ve always trusted. We will be holding a one-way walk-thru immunization clinic on [Date] at [Location] so you have the opportunity to get routine vaccinations quickly and ensure you have minimal contact with other patients and staff. While our office has always focused on strict sanitation and safety methods, we have now instituted new guidelines for all staff and visiting patients to ensure your safety is our number 1 priority. Call us at [Office Number] to schedule your one-way walk-thru immunization clinic appointment or an office visit. We have instituted new hours of [Days/Hours] and have reserved [Days/Hours] for older patients (65+) to further minimize exposure. We look forward to seeing you; if you have any questions, please don’t hesitate to call our office.

Sincerely, [HCP/Office Staff] [Practice Name] Email Patient Outreach Communications

4b Pediatric/Adolescent Vaccination Importance Reminder

Subject Line: Make sure to help protect your family against vaccine-preventable diseases.

Hello, During these unprecedented times, it is more important than ever to do what you can to help protect yourself and your (child/children) against diseases that we currently have vaccines for, and that means getting CDC-recommended vaccinations. It’s important to make sure your children are vaccinated against conditions such as tetanus, diphtheria, pertussis, measles, and meningococcal meningitis. The CDC has put forth an immunization schedule and adhering to that schedule is critical for your (child’s/children’s) health. We are here for you and your family during these uncertain times to provide the care and service you’ve always trusted. We will be holding a one-way walk-thru immunization clinic on [Date] at [Location] so you and your family have the opportunity to get your routine vaccinations quickly and ensure you have minimal contact with other patients and staff. While our office has always focused on strict sanitation and safety methods, we have now instituted new guidelines for all staff and visiting patients to ensure your safety is our number 1 priority. Call us at [Office Number] to schedule your one-way walk-thru immunization clinic appointment or an office visit. We have instituted new hours of [Days/Hours]. We look forward to seeing you and your family; if you have any questions, please don’t hesitate to call our office.

Sincerely, [HCP/Office Staff] [Practice Name] EHR/Health Portal Patient Outreach Communications

One-Way Walk-Thru 1 Clinic Information

Subject Line: We’re holding a one-way walk-thru immunization clinic—schedule your appointment now.

Hello, We will be holding a one-way walk-thru immunization clinic on [Date] at [Location]— allowing you to get CDC-recommended vaccinations quickly and ensure you have minimal contact with other patients and staff. Although you may not be comfortable coming into the office for vaccination during these uncertain times, it’s now more important than ever to adhere to the CDC immunization schedule for your age group in order to help protect against a variety of vaccine-preventable diseases for which we have vaccines. One of the best ways to do that is to get vaccinated, and we want you to feel comfortable doing so.

Staff will wear personal protective equipment and follow all CDC guidelines to ensure safety for both you and our staff.

Please email or fax a copy of your insurance card to us before the appointment, if not already on record, to ensure minimal contact and smooth operation. If you have any questions, or if you would like to schedule your one-way walk-thru immunization clinic appointment, please give us a call at [Office Number] between the hours of [Office Hours].

Sincerely, [HCP/Office Staff] [Practice Name]

EHR/Health Portal Patient Outreach Communications

2 Office Preparation and Adjustments

Subject Line: Your safety is our number 1 priority.

Hello, We wanted to reach out to let you know that our practice’s number 1 priority is your safety, well-being, and peace of mind. You may be uncomfortable with the idea of well visits or, more importantly, visits for new or existing ailments, but we encourage you to still make an appointment. We are taking all necessary steps to ensure our office is ready for your visit, with a focus on strict sanitation and safety methods. New guidelines include: • Wiping down all surfaces after each patient • Separating waiting room seating, ensuring adequate stock of personal protective equipment • Requiring staff to wear masks and gloves at all times • New office hours of [Days/Hours] • Reserved [Days/Hours] for our older and at-risk patients to minimize exposure If you have any questions about any of the new guidelines, or would like to schedule an appointment, please call our office at [Office Number] between the hours of [Office Hours].

Sincerely, [HCP/Office Staff] [Practice Name] EHR/Health Portal Patient Outreach Communications

General Reassurance of Importance 3 of Visits and Vaccinations

Subject Line: Don’t put off your health. Come in for a visit.

Hello, We wanted to reach out and reassure you that the practice’s number 1 priority is your safety, well-being, and peace of mind. To minimize exposure to the COVID-19 virus and avoid overloading the health system, many people have put off coming in for well visits, as well as new or recurring ailments. While we understand these hesitations, we are here for you, your family, your safety, and, of course, your health. It’s now more important than ever to adhere to the CDC immunization schedule for your age group in order to help protect against a variety of vaccine-preventable diseases for which we have vaccines. One of the best ways to do that is to get vaccinated. To better navigate these uncertain times, our office has now instituted new guidelines for all staff and visiting patients. Don’t put off coming into the office—call to make an appointment instead. If you have questions about any of the new guidelines, or would like to schedule an appointment, including CDC-recommended vaccinations, please call our office at [Office Number] between the hours of [Office Hours].

Sincerely, [HCP/Office Staff] [Practice Name] EHR/Health Portal Patient Outreach Communications

4a Adult Vaccination Importance Reminder

Subject Line: Getting CDC-recommended vaccinations are now more important than ever.

Hello, During these unprecedented times, it is more important than ever to do what you can to help protect yourself against diseases that we currently have vaccines for, and that means getting CDC-recommended vaccinations. For older patients, it’s critical to get all vaccinations according to the CDC immunization schedule for your age group. Helping to protect yourself is now more important than ever and one of the best ways to do that is to get vaccinated. We will be holding a one-way walk-thru immunization clinic on [Date] at [Location] so you have the opportunity to get routine vaccinations quickly and ensure you have minimal contact with other patients and staff. Your safety is our number 1 priority, so we also have instituted new hours of [Days/Hours] and have reserved [Days/Hours] for our older and at-risk patients to minimize exposure. Call us at [Office Number] to schedule your one-way walk-thru immunization clinic appointment, an office visit, or if you have any questions. Thank you!

Sincerely, [HCP/Office Staff] [Practice Name] EHR/Health Portal Patient Outreach Communications

4b Pediatric/Adolescent Vaccination Importance Reminder

Subject Line: Make sure to help protect your family against vaccine-preventable diseases.

It’s important to make sure your children are vaccinated against conditions such as tetanus, diphtheria, pertussis, measles, and meningococcal meningitis. The CDC has put forth an immunization schedule, and adhering to that schedule is critical for your (child’s/children’s) health. We will be holding a one-way walk-thru immunization clinic on [Date] at [Location] so you and your family have the opportunity to get routine vaccinations quickly and ensure you have minimal contact with other patients and staff.

Call us at [Office Number] to schedule your one-way walk-thru immunization clinic appointment, an office visit, or if you have any questions. Thank you.

Sincerely, [HCP/Office Staff] [Practice Name] Text/Social Media Patient Outreach Communications

One-Way Walk-Thru 1 Clinic Information

HELP PROTECT YOURSELF. GET YOUR NECESSARY VACCINATIONS. We want you to feel comfortable getting your CDC-recommended vaccinations according to your age group’s CDC immunization schedule. So we will be holding a one-way walk-thru immunization clinic on [Date]. Contact us for more information.

GET YOUR NECESSARY VACCINATIONS AT THE ONE-WAY WALK-THRU CLINIC. We will be holding a one-way walk-thru immunization clinic on [Date] so you can get your CDC-recommended vaccinations quickly and ensure you have minimal contact with other patients and staff. Contact us for more information.

YOUR NECESSARY VACCINATIONS ARE AROUND THE CORNER. A new one-way walk-thru immunization clinic is opening near you. So you can get your CDC-recommended vaccinations according to your age group’s CDC immunization schedule quickly and ensure you have minimal contact with other patients and staff. Call to make an appointment. Text/Social Media Patient Outreach Communications

Office Preparation General Reassurance 2 3 and Adjustments of Importance of Visits

CHECK YOUR HEALTH. and Vaccinations KEEP YOUR PEACE OF MIND. YOUR HEALTH IS WORTH A VISIT. We have now instituted new guidelines During these unprecedented times, it’s now for all staff and visiting patients, with strict more important than ever to adhere to the surface sanitation and all staff wearing CDC immunization schedule for your age personal protective equipment. Make group. Help protect yourself against a variety an appointment today. of vaccine-preventable diseases —get vaccinated. WE WANT TO SEE YOU SAFE. Call us today. (Phone Number) Our practice’s number 1 priority is your health and your safety, so we have YOUR HEALTH IS WORTH A CALL. taken strict sanitation measures and new We are here for you and your family during guidelines for our staff to be ready to these uncertain times to provide the care and see you in the office soon. service you’ve always trusted. Call or come in We’re expecting you. SAFETY FIRST. for a visit. With every protective and sanitary measure YOUR HEALTH CAN’T WAIT. in place, we encourage you to make We are here for you and your family during an appointment for a well visit or, more these uncertain times to provide the care importantly, for new or existing ailments. and service you’ve always trusted. Don’t wait. BE CERTAIN IN UNCERTAIN TIMES. Make an appointment today. While our office has always focused on DON’T LET CONCERN ABOUT COVID-19 strict sanitation and safety methods, we COMPROMISE YOUR HEALTH. have now instituted new guidelines for all We understand, and we want to reassure staff and visiting patients so you can safely you that our office has now instituted new come in for a visit. guidelines for all staff and visiting patients so you can safely come in. Make an appointment today. Text/Social Media Patient Outreach Communications

Adult Vaccination Pediatric/Adolescent 4a 4b Importance Reminder Vaccination Importance

VACCINATION Reminder IS IN YOUR CONTROL. BACK TO SCHOOL— Don’t wait. During these unprecedented OR LEARNING FROM HOME times, it’s now more important than ever to During these unprecedented times, it’s adhere to the CDC immunization schedule now more important than ever to help for your age group. Help protect yourself protect your children. Make sure they’re against a variety of vaccine-preventable vaccinated against conditions such as diseases—get vaccinated. Make an tetanus, diphtheria, pertussis, measles, and appointment today. meningococcal meningitis. The CDC has put forth an immunization schedule, and adhering to that schedule is critical for KEEPING THE FOCUS ON YOU. your (child’s/children’s) health. Make an It’s critical that you receive all CDC- appointment today. recommended vaccines to help protect against a variety of vaccine-preventable diseases. Call to make an appointment. YOUR CHILD’S CDC-RECOMMENDED VACCINATION IS AROUND THE CORNER. We will be holding a one-way walk-thru IT’S TIME FOR PREVENTATIVE VACCINES immunizations clinic on [Date] at [Location] During these unprecedented times, it’s now so your child can get CDC-recommended more important than ever to adhere to the vaccinations quickly and ensure you have CDC immunization schedule for your age minimal contact with other patients and group. Help protect yourself against a variety staff. Call for information. of vaccine-preventable diseases—get vaccinated. HELP PROTECT YOUR CHILDREN AGAINST VACCINE-PREVENTABLE DISEASES Make sure they’re vaccinated against conditions such as tetanus, diphtheria, pertussis, measles, and meningococcal meningitis. The CDC has put forth an immunization schedule and adhering to that schedule is critical for your (child’s/children’s) health. Make your appointment today.

Brought to you by Sanofi Pasteur Inc. MAT-US-2014466 | 07/2020 ONE-STOP SHOT WALK-THRU IMMUNIZATION CLINIC PERFORM

The appointments are scheduled and the patients are arriving. Time to prepare your office for your patients’ necessary preventative vaccinations. We’ve included a collection of helpful office signage, including a poster with information on symptoms, waiting room signs, traffic flow directions, and a variety of protocol reminders. Also included is a link to download patient education materials highlighting statistics around pertussis and meningococcal disease.

Logistical Signage

SICK VISITS WELL VISIT THIS WAY Waiting Area Only PLEASE READ BEFORE ENTERING Only proceed if you are currently experiencing fever, PLEASE READ BEFORE ENTERING cough, shortness of breath, or flu-like symptoms. Help reduce the spread of disease by following these guidelines: Proper vaccination Do not proceed if you have any of the following symptoms: helps protect you and those around you

Healthy visitors Wear a protective Cover coughs and Wash hands MAT-US-2014452 | 07/2020 are advised mask if you sneezes with a after coughing to sit in the show symptoms tissue, sleeve, or or sneezing Fever Cough Shortness of Breath well visit area of coughing or face mask difficulty breathing or have been experiencing flu-like symptoms

If you are unsure about your symptoms, please consult with office staff for guidance. Thank you for your understanding during these uncertain times.

MAT-US-2014443 | 07/2020 MAT-US-2014445 | 07/2020

SICK VISIT SIGN FOR WELL VISIT SIGN FOR DIRECTIONAL ARROWS WAITING ROOM WAITING ROOM

Contactless REMINDER: REMINDER: Checkout Info A face mask or covering must Please stay 6 feet away from be worn at all times. other patients during your visit. In order to better protect our patients and staff, contactless checkout is now available. Our physical distancing measures have been implemented to help best protect you, all To use, please follow the instructions below: visiting patients, and our staff.

Have all waivers, paperwork, and your 1 insurance card ready for checkout, in case they are needed.

Only credit cards and payment 6 feet 2 methods on file will be accepted.

A receipt will be sent to your email 3 on file if requested.

Thank you for your understanding as we navigate Thank you for your understanding as we navigate Thank you for your understanding as we navigate these uncertain times together. these uncertain times together. these uncertain times together.

MAT-US-2014459 | 07/2020 MAT-US-2014461 | 07/2020 MAT-US-2014462 | 07/2020

CONTACTLESS PERSONAL PROTECTIVE PHYSICAL DISTANCING CHECKOUT INFO EQUIPMENT REMINDER REMINDER

CONTINUED ONE-STOP SHOT WALK-THRU IMMUNIZATION CLINIC PERFORM

Patient Education Materials—Pediatric

VAXRATESBYSTATE.COM

Patient Education Materials—Adolescent

RECOMMENDEDStay up-to-date IMMUNIZATION on SCHEDULE FOR PERSONS FROM BIRTH THROUGH 18 YEARS OF AGE1,a HPV WHOOPING COUGH Is the most common sexually transmitted Also known as pertussis, is a highly RECOMMENDED your CDC-recommended HELP PROTECT YOURSELF. WHYWAIT 3 8 2019 infection in the United States contagious respiratory illness RECOMMENDED IMMUNIZATION SCHEDULE FOR PERSONS FROM BIRTH THROUGH 18 YEARS OF AGE1,a vaccinations by1 using2 4 6 9 12 15 18 VACCINATE19-23 2-3 4-6 7-10 11-12 13-15 17-1879 million Americans, most in their late teens It is spread from person to person usually VACCINE Birth 8 RECOMMENDED month months months monthsHELP PROTECTmonths months THE months months months years years years years years YEARS andyears early 20s, are infected with HPV.3 through coughing or sneezing. Coughing 2019 IMMUNIZATION SCHEDULE this scheduling chart: fits due to pertussis infection can last for 1 2 4 6 9 12 15 18 19-23 2-3 4-6 7-10 11-12 13-15 17-18 PEOPLE YOU LOVE. SYMPTOMS up to 10 weeks or more—which is why Hepatitis B (HepB) 1st dose 2nd dose 3rd dose VACCINE Birth month months months months months months months months months years years years years years YEARS years HPV can appear in the form of genital warts whooping cough is sometimes referred to IMMUNIZATION SCHEDULE FOR PERSONS FROM BIRTH THROUGH 18 YEARS Before the new and can also cause cervical and other cancers.3 as the "100-day cough."9 Rotavirus (RV) RV1 (2-dose series); HPV 1st dose 2nd dose SeeHELP Notes* PROTECT THE Hepatitis B (HepB) 1st dose 2nd dose 3rd dose RV5 (3-dose series) PEOPLE AROUND YOU. school year begins, RECOMMENDATION SYMPTOMS FOR PERSONS FROM BIRTH THROUGH 18 YEARS Adolescents 11 or 12 years of age a To help prevent your child from being infected These severe coughing spells can result in10: Diphtheria, tetanus, and acellular pertussis get the CDC -recommended 4 Rotavirus (RV) RV1 (2-dose series); 1st dose 2nd dose See Notes* 1st dose 2nd dose 3rd dose 4th dose 5th dose Among the many by HPV, the CDC recommends : • Difficulty breathing RV5 (3-dose series) (DTaP: <7 yrs) are recommended to receive 2 doses 1 4 vaccinations against : • Kids 11 to 12 years of age • Difficulty eating of HPV vaccine. Some individuals, References: 1. Centers for Disease Control and Prevention vaccine-preventable See Notes* – 2 doses of the HPV vaccine • Passing out Diphtheria, tetanus, and acellular pertussis 1st dose 2nd dose 3rd dose 4th dose Haemophilus influenzae5th dose type b (Hib) 1st dose 2nd dose(CDC). Recommended child and adolescent3rd orimmunization 4th dose, See Notes* depending on age and health status, schedule for ages 18 years or younger, United States, 2020. diseases, HPV, – Must be given 6 to 12 months apart • Weight loss (DTaP: <7 yrs) or Disease Control an 4 a Centers f d Preventi are recommended to receive 3 doses. https://www.cdc.gov/vaccines/schedules/downloads/child/0- CDC = on. – If given 5 months apart or less, a third dose • Incontinence 18yrs-child-combined-schedule.pdf. Accessed May 15, 2020. meningococcal 1st dose 2nd dose See Notes* 3rd or 4th dose, See Notes* Pneumococcal conjugate (PCV13) 1st dose 2nd dose 3rd dose 4th dose Haemophilus influenzae type b (Hib) RECOMMENDED 2. CDC. Information for parents: 2020 recommended will be needed • Rib fractures 2019 Date: immunizations for children 7-18 years old. https://www.cdc. meningitis, and • Adolescents 15 years or older who have not Inactivated poliovirus (IPV: <18 yrs) 1st dose 2nd dosegov/vaccines/schedules/downloads/teen/parent-version-3rd dose 4th dose yet received their first dose of the HPV vaccine RECOMMENDATION Pneumococcal conjugate (PCV13) 1st dose 2nd dose 3rd dose 4th dose schedule-7-18yrs.pdf. Accessed May 15, 2020. 3. CDC. whooping cough Getting a Tdapd vaccine can help provide RECOMMENDED IMMUNIZATION SCHEDULE Human papillomavirus (HPV). Genital HPV infection—fact b – 3 doses given over a period of 6 months Date: 10 2019 sheet. http://www.cdc.gov/std/hpv/stdfact-hpv.htm. Accessed HPV are all threats to • Individuals with weakened immune systems, protection from whooping cough. Preteens Influenza (IIV) Annual vaccination 1 or 2 doses Annual vaccination 1 dose only Inactivated poliovirus (IPV: <18 yrs) 1st dose 2nd dose 3rd dose 4th dose May 15, 2020. 4. CDC. Use of a 2-dose schedule for human regardless of age should get 1 dose of Tdap vaccine at 11 or 12 or Date: papillomavirus vaccination—updated recommendations of the or adolescents and years of age to boost their immunity against the IMMUNIZATION SCHEDULE Advisory Committee on Immunization Practices. MMWR. – 3 doses: given as a first dose, at 2 months, diseases that Tdap helps protect against. Teens The Advisory Committee on Immunization 2016;65(49):1405-1408. 5. CDC. Vaccine information b an papillo Influenza (IIV) Annual vaccination 1 or 2 doses Influenza (LAIV) Annual vaccination 1 dose only HPV = Hum Annualmavir vaccinationus. 1 or 2 doses young Annualadults. vaccination 1 dose only and again at 6 months who didn't get Tdap should get 1 dose the next statement: meningococcal ACWY vaccine: what you need to 11 or Practices emphasizes the need for a or know. https://www.cdc.gov/vaccines/hcp/vis/vis-statements/ time they visit their health care professional. MENINGOCOCCAL mening.pdf. Accessed May 15, 2020. 6. CDC. The Advisory Committee on Immunization Influenza (LAIV) 2nd dose of MenACWY at 16 years of age. Measles,Annual mumps, vaccination rubella 1 or 2(MMR) doses Annual vaccination 1 dose only See Notes* 1st dose 2nd dose MENINGOCOCCAL MENINGITIS Meningococcal disease: signs and symptoms: meningococcal Practices emphasizes the need for a meningitis. http://www.cdc.gov/meningococcal/about/ MENINGITIS It’s also a good time to administer other symptoms.html. Accessed May 15, 2020. 7. CDC. Use of Often occurs without warning and, although 2nd dose of MenACWY at 16 years of age. Measles, mumps, rubella (MMR) See Notes* 1st dose Varicella (VAR) 2nd dose serogroup B meningococcal vaccines in adolescents1st doseand MENINGOCOCCAL2nd dose needed vaccines. Adolescents are recommended young adults: recommendations of the Advisory Committee on rare, can be extremely devastating and 5,6 It’s also a good time to administer other to receive 2 doses of MenACWY Immunization Practices, 2015. MMWR. 2015;6 4( 41):1171- potentially deadly DESPITE 8. MENINGITIS Varicella (VAR) 1st dose Hepatitis A (HepA)2nd dose 1176. CDC. PertussisSee Notes* (whooping cough): causes and 2-dose series, See Notes* Meningococcal meningitis is caused by a needed vaccines. vaccine—the first dose at 11 or 12 years transmission. http://www.cdc.gov/pertussis/about/causes- HELP REDUCE THE THE RISK, For full recommendations, which include 5 transmission.html. Accessed May 15, 2020. 9. CDC. Pertussis bacterial infection involving the lining covering % MILLIONS OF of age and a booster dose at age 16. THREAT WITH PROPER the brain and spinal cord.6 ~50 Meningococcal MenACWY (whooping cough): fast facts. http://www.cdc.gov/pertussis/See Notes* 1st dose 2nd dose ADOLESCENTS IN Hepatitis A (HepA) important footnotes andSee Notes*catch-up schedules,2-dose series, See Notes* fast-facts.html. Accessed May 15, 2020. 10. CDC. Vaccine 1,2 of female teenagers VACCINATION. THE UNITED For full recommendations, which include Date: information statement: Tdap (tetanus, diphtheria, pertussis) SYMPTOMS 13-17 years of age see www.cdc.gov/vaccines. vaccine: what you need to know. http://www.cdc.gov/ Some symptoms of meningococcal meningitis are6: have not been fully STATES REMAIN Meningococcal MenACWY See Notes* Tetanus, diphtheria, and acellular pertussis1st dose 2nd dose vaccines/hcp/vis/vis-statements/tdap.pdf. Accessed May 20, Tdap UNDER-PROTECTED important footnotes and catch-up schedules, 2020. 11. CDC. Vaccines and preventable diseases: • Sudden fever vaccinated against Date: WHOOPING AGAINST diphtheria, tetanus, and whooping cough vaccination: what Help take control of your disease HPV12 see www.cdc.gov/vaccines. • Headache MENINGOCOCCAL Tetanus, diphtheria, and acellular pertussis Human papillomavirus (HPV) Tdap everyone should know. https://www.cdc.gov/vaccines/vpd/ See Notes* dtap-tdap-td/public/index.html. Accessed May 15, 2020. COUGH prevention by taking the initiative • Nausea % MENINGITIS, 12. CDC. National, regional, state, and selected local area • Vomiting ~50 WHOOPING WHOOPING COUGH vaccination coverage among adolescents aged 13–17 years— before heading back to school—See Notes* Meningococcal B See Notes* of male teenagers COUGH, Human papillomavirus (HPV) United States, 2018. MMWR. 2019;68(33):718-723. RECOMMENDATION 13-17 years of age if you or your loved ones are not AND have not been fully Adolescents and young adults Help protect yourself from meningococcal HPV.12 Meningococcal B Pneumococcal polysaccharide (PPSV23) See Notes* up-to-date onSee vaccinations, Notes* talk to meningitis by getting the recommended vaccinated against are recommended to receive c 5 Vaccination goes 2 doses of the MenACWY vaccine : HPV12 11 1 dose of Tdap vaccine. us today. Timely vaccination can Brought to you as a public with education • First dose at 11 or 12 years of age % Pneumococcal polysaccharide (PPSV23) See Notes* health service by VaxServe®, % Range of recommended Range of recommended ages Range of recommended ages Range of recommended ages for non–high-riskhelp groups you, that your may loved ones, and • Booster dose at 16 years of age ~10 Date: A SANOFI PASTEUR COMPANY. No recommendation ~50 of teens 13-17 years HIGHLIGHTING RECOMMENDED ages for all children for catch-up immunization for certain high-risk groups receive vaccine, subject to individual clinical decision making The CDC recommends permissive use of of teens 17 years of age have not SANOFI PASTEUR Discovery Drive. those in your community avoid meningococcal serogroup B vaccine for of age have not a been vaccinated Range of recommended Range of recommended ages Range of recommended ages Range of recommended For full recommendations, ages for non–high-risk which includegroups important that may footnotes and catch-up schedules, see https://www.cdc.gov/vaccines/schedulesSwiftwater, Pennsylvania/hcp/child-adolescent.html. 18370. www.sanofi.us ages 16-23 years, with a preferred IMMUNIZATIONS AT 16 YEARS OF AGE No recommendation received their ages for all children for catch-up immunization for certain high-risk groups receive vaccine, *Adaptedsubject to from individual the Recommended clinical decision Child makingand Adolescent Immunization Schedule for ages 18 years or younger, UnitedMAT-US-2008434 States, 2019. © 2020 Sanofi Pasteur Inc. 06/20 potentially serious vaccine- age range of 16-18 years.7 against whooping HIGHLIGHTING RECOMMENDED second dose of cough (pertussis)12 MenACWY12 a preventable diseases. IMMUNIZATIONS AT 16 YEARS OF AGE For full recommendations, which include important footnotes and catch-up schedules, see https://www.cdc.gov/vaccines/schedules/hcp/child-adolescent.html. c MenACWY = Meningococcal conjugate for serogroups *Adapted from the Recommended Child and Adolescent Immunization Schedule for ages 18 years or younger, United States, 2019. A, C, W, and Y. d Tdap = Tetanus, diphtheria, and acellular pertussis.

16-YEAR-OLD MAGNETIC BACK TO SCHOOL SHARE2PROTECTTEENS.COM IMMUNIZATION SCHEDULE PATIENT BROCHURE

Patient Education Materials—Adult

DID YOU KNOW DON’T LET WHOOPING COUGH OR THE FLU COME WHEN A BABY GETS BETWEEN YOU AND YOUR LOVED ONES WHOOPING COUGH Get vaccinated to help protect yourself (and to help prevent (PERTUSSIS)the spread of pertussis to your baby) IT USUALLY COMES FROMIn one study, the risk of pertussis in infants younger than 3 months A FAMILY MEMBER?of age was reduced by 51% when their mothers and fathers were vaccinated with Tdap (adult pertussis vaccine).

Vaccinating family members, or anyone who comes in contact with your baby, can help to prevent the spread of pertussis. One cough could be the start of something serious. Get your Pertussis is highly contagious. In fact, when a source of infection adult booster vaccine, because you can never be too careful. could be determined, over 50% of babies with pertussis were found to have caught the disease from a family member. And it’s potentially fatal to infants, especially any infant younger than 12 months of age. Is Tdap vaccination right for you? • Are you in contact with infants younger than 12 months The first step to helping keep yourself and the baby in your life safe of age? is to talk with your doctor about getting an adult Tdapa vaccine. • Have you ever received a dose of Tdap vaccine? Learn more at www.cdc.gov/vaccines.

CDCb recommendation for getting an adult Tdap booster vaccine: Persons ≥19 years of age who previously have not received a dose of Tdap should receive a single dose of Tdap in place of a decennial Visit www.cdc.gov/vaccines Td c booster dose. The dose of Tdap, when indicated, should not be to learn more about how you can delayed and should be administered regardless of interval since get a dose of adult Tdap vaccine. the last tetanus or diphtheria toxoid–containing vaccine. Whooping cough and the ﬂu can be life-threatening in infants.1 a Tdap = Tetanus, diphtheria, and acellular pertussis. 2 b CDC = Centers for Disease Control and Prevention. They may get them from infected family members who unknowingly spread the disease. c Td = Tetanus, diphtheria. HELP PROTECT THE PEOPLE YOU CARE ABOUT FROM See next page to determine if Tdap vaccination is right for you. THE SPREAD OF DISEASE. GET VACCINATED TODAY.

Get Vaccinated Brought to you as a public health service by Sanofi Pasteur. Before You Visit

SAUS.PERTU.18.12.7197 1/19 References: 1. Centers for Disease Control and Prevention. Influenza (flu): children & influenza (flu). https://www.cdc.gov/flu/protect/children.htm. Accessed March 1, 2019. 2. Tan TQ, Gerbie MV. Pertussis, a disease whose time has come: what can be done to control the problem? Obstet Gynecol. 2013;122:370-373.

Brought to you as a public health service by VaxServe®, A SANOFI PASTEUR COMPANY. SAUS.PERTU.19.05.3149 | 6/19

PERTUSSIS PERTUSSIS/ DISCUSSION GUIDE FLU POSTER

Download the collection of LOGISTICAL SIGNAGE or request printed materials by contacting your Sanofi Pasteur Representative or visit VACCINESHOPPE.COM®. ONE-STOP SHOT DRIVE-THRU IMMUNIZATION CLINIC

In these uncertain times, patients may not be comfortable coming into the office, but immunization is paramount, and more important than ever. Putting on a drive-thru immunization clinic can empower you to provide patients the opportunity to get CDC-recommended vaccinations without leaving the comfort and safety of their vehicle. Remember to remind patients about the importance of adhering to the CDC immunization schedule for their age group to help protect against a variety of vaccine-preventable diseases, while reinforcing that vaccination is one of the best solutions. This module is split into 3 key platforms: PLAN, PREPARE, and PERFORM. Each covers a different aspect of running a drive-thru immunization clinic: clinic guidance and logistical flow, patient outreach, and clinic location preparation and signage. Together, they form a comprehensive plan that will enable you to run a successful clinic.

To print the entire One-Stop Shot Drive-Thru Immunization Clinic section, PRINT PAGES 30-52, or either visit VACCINESHOPPE.COM® or contact your Sanofi Pasteur Representative to request printed materials. ONE-STOP SHOT DRIVE-THRU IMMUNIZATION CLINIC PLAN

The first step is to prepare your office and staff for running the clinic, with logistical guidance and protocol training. The clinic guidance document provides step-by-step instructions for appointment setting dialogue, preparing materials for each drive-up immunization, and during/after immunization protocol. We’ve developed a logistical roadmap outlining how to set up each station and a proposed flow that vehicles should follow to ensure everyone knows their role, patients have minimal contact and spend the least amount of time waiting, and general smooth operation.

1 Clinic Guidance and Logistical Blueprint

Examples

To print the Clinic Guidance and Logistical Blueprint, PRINT PAGES 31-33, or either visit VACCINESHOPPE.COM® or contact your Sanofi Pasteur Representative to request printed materials. One-Stop Shot Drive-Thru Immunization Clinic

With the ongoing COVID-19 pandemic, it’s more important than ever to help protect patients against diseases that we currently have vaccines for. It’s crucial to remind them that they should adhere to their age group’s CDC immunization schedule, as vaccination is one of the best ways to help protect themselves. In these uncertain times, patients may not be comfortable coming into the office, but immunization is paramount.

SOLUTION: Hold a drive-thru clinic so you can provide patients with the opportunity to get CDC-recommended vaccinations without leaving the comfort and safety of their vehicle, ensuring separation between sick and healthy patients, and helping to limit traffic flow through your office. See the materials checklist providedSee the materials Here you will find general Planning Tips planning tips, logistical considerations, and a clinic site blueprint and patient Know Have a plan in place to maintain flow map. the Flow traffic flow, from entrance to exit

We’ve broken it down into step-by-step instructions for Have the Use the materials checklist provided as 3 phases: Right Tools a starting point to ensure you have all the items needed to run the clinic PLAN 1 Making the Patient Provide documentation of vaccine Appointment Proof administration to all recipients at time of vaccination PREPARE 2 Getting Ready for the Appointment Have a Ensure backup plans are in place Backup in case of late arrivals or delays PERFORM Plan 3 During the Appointment One-Stop Shot Drive-Thru Immunization Clinic

1 PLAN: Making the 2 PREPARE: Getting Ready Appointment for the Appointment Verify Insurance Status of Patient Before the Patient Drives Up • Ask patient to email or fax a copy of their • Pull the Vaccine Information insurance card, if not on record previously Statement (VIS) sheet Review Patient Immunization Records • Review CDC guidelines for proper • Take full advantage of available state handling and storage methods: immunization registry and ensure the patient’s https://www.cdc.gov/vaccines/hcp/admin/ information is updated in the system storage/index.html

• Discuss the risks and benefits and eviewr • Prepare the appropriate vaccine(s) and all contraindications with patient needed immunization supplies: — Bandages (spot or rectangular) • Inform patient of all vaccinations they are — Sharps container due for, and the importance of adhering to the CDC immunization schedule — Alcohol wipes and sanitizing products — Paper towels • Reinforce the message that it’s now — Cotton balls or sterile gauze pad more important than ever to help protect — Thermometer themselves against vaccine-preventable diseases for which we have vaccines, • Create an encounter in your EHR/state and one of the best ways to do that is registry or paper chart to document to get vaccinated immunization

• Suggest having multiple vaccinations • Put on appropriate personal protective scheduled in a single visit in order to save time equipment and keep their immunization schedule current Communicate necessary 3 PERFORM: During day-of considerations the Appointment • If administering vaccines to pediatric/ Confirm Patient Information adolescent patients, ensure you ask the • Provide the VIS sheet and explain how parent or caregiver to dress the child in patients should navigate the clinic clothes that allow easy access to legs and/or arms to make certain vaccines Administer the Vaccine easier to administer If the Patient Is Driving If the Patient Getting Vaccinated Is Driving • Ask them to remain in the parking lot for 15 minutes and recheck prior to discharge • Tell the patient they will be asked to wait 15 minutes before leaving the parking lot Document Vaccinations According to Standard Procedures Set Appointment Time and Provide Directions to the Clinic Site One-Stop Shot Drive-Thru Immunization Clinic Logistical Flow

This blueprint offers guidance on how to set up the clinic site, including station descriptions and the proposed patient flow.

Intake Station 1 Patient Vehicle Queue Verify patient Ensure you choose a ENTRANCE appointment location with sufficient space for traffic

Intake Station 2 Verify patient information and communicate with immunization station to prepare vaccine(s). Use this opportunity to check the patients’ record and encourage additional vaccinations if due.

Note: Confirm pediatric/adolescent patients are wearing appropriate Immunization Station clothes that provide easy access to legs and/or arms for administration Administer vaccine(s) of certain vaccines and advise to the parent or guardian that any child in a car seat must not be removed during the vaccination.

Holding Station If immunized patient is driving, hold them here for 15 minutes of observation before discharge

Straight to Exit If immunized patient is not driving, they EXIT may proceed straight to the exit ONE-STOP SHOT DRIVE-THRU IMMUNIZATION CLINIC PREPARE

This platform serves to help you and your staff with patient outreach. Personally connecting with your patients is key in reinforcing trust and vaccine acceptance, ultimately setting your clinic up for success. We’ve provided you with messages to use in multiple channels, including telephone, email, EHR/health portal, and text/social media. You can use your own recall system or WellConnect, Sanofi Pasteur’s recall system. These messages cover 4 topics: a drive-thru clinic announcement, office preparation and adaptation protocol, reassurance of the importance of well and sick visits and vaccinations, and both pediatric/adolescent and adult vaccination importance reminders, including adherence to the CDC immunization schedule for their age group.

1 Telephone Patient Outreach Communications 2 Email Patient Outreach Communications 3 EHR/Health Portal Patient Outreach Communications 4 Text/Social Media Patient Outreach Communications

Examples

Telephone EHR/Health Portal Patient Outreach Patient Outreach Communications Communications

1 Drive-Thru Clinic Information 1 Drive-Thru Clinic Information

Hello, this is [Name]. Subject Line: I’m calling to let you know that [Office We’re holding a drive-thru immunization Name] will be holding a drive-thru clinic—schedule your appointment now. immunization clinic on [Date] at [Location]. Hello, We know you may not be comfortable We will be holding a drive-thru immunization coming into the office for vaccination during clinic on [Date] at [Location]—allowing you these uncertain times, but it’s now more important than ever to adhere to the CDC Email to get your CDC-recommended vaccinations Text/Social Media immunization schedule for your age group without leaving your vehicle. Although you may to help protect against a variety of vaccine- Patient Outreach not be comfortable coming into the office for Patient Outreach preventable diseases. One of the best ways vaccination during these uncertain times, it’s now more important than ever to do that is to get vaccinated, and we want Communications to adhere to the CDC immunization schedule for your age group to help protect Communications you to feel comfortable doing so. against a variety of vaccine-preventable diseases. One of the best ways to do that is to get vaccinated. The drive-thru immunization clinic Drive-Thru Clinic Information 1 Drive-Thru Clinic Information provides you the opportunity to get CDC- 1 Staff will wear personal protective equipment and follow all CDC guidelines recommended vaccinations without Subject Line: to ensure safety for both you and our staff. HELP PROTECT YOURSELF. leaving your vehicle. Staff will wear personal We’re holding a drive-thru immunization clinic— GET YOUR NECESSARY VACCINATIONS. protective equipment and follow all CDC schedule your appointment now. Please email or fax a copy of your insurance card to us before the appointment, You may not be comfortable coming into guidelines to ensure safety for both if not already on record, to ensure minimal contact and smooth operation. If you the office for your necessary vaccinations. you and our staff. Hello, have any questions, or if you would like to schedule your drive-thru immunization So, we will be holding a drive-thru To ensure minimal contact and smooth During these unprecedented times, it is more important than ever to do clinic appointment, please give us a call at [Office Number] between the hours immunization clinic on [Date]. operation, we will ask you to email or fax what you can to help protect yourself against diseases that we currently of [Office Hours]. Contact us for more information. a copy of your insurance card to us before have vaccines for, and that means making sure you’re up-to-date with all the appointment, if it is not already on vaccinations. We also know that these are uncertain times and recognize Sincerely, record. Call us back at [Office Number] you may not be comfortable coming into the office at this time for that [HCP/Office Staff] GET YOUR NECESSARY VACCINATIONS between the hours of [Office Hours] to vaccination, but it’s now more important than ever to adhere to the CDC [Practice Name] AT THE DRIVE-THRU. schedule your appointment or if you immunization schedule for you age group to help protect against a variety We will be holding a drive-thru immunization have any additional questions. of vaccine-preventable diseases. One of the best ways to do that is to get clinic on [Date] so you can get your vaccinated. Thank you! Goodbye. CDC-recommended vaccinations without This is why we will be holding a drive-thru immunization clinic on [Date] leaving the comfort or safety of your vehicle. at [Location]. We want to provide you the opportunity to get CDC- Contact us for more information. recommended vaccinations without leaving the comfort and safety of your vehicle. Our staff will of course be wearing personal protective equipment and following CDC guidelines to ensure your safety and ours. YOUR NECESSARY VACCINATIONS ARE Call us at [Office Number] to schedule your appointment now. To ensure AROUND THE CORNER. minimal contact and smooth operation, we will ask you to email or fax A new drive-thru immunization clinic is a copy of your insurance card to us before the appointment, if it is not opening near you. So you can get your already on record. CDC-recommended vaccinations If you have any questions or if you would like to schedule your drive-thru according to your age group’s CDC immunization clinic appointment, please give us a call at [Office Number] immunization schedule without leaving between the hours of [Office Hours]. the comfort and safety of your vehicle. Call to make an appointment. Sincerely, [HCP/Office Staff] [Practice Name]

To print the Patient Outreach Communications, PRINT PAGES 35-50, or either VISIT VACCINESHOPPE.COM® or contact your Sanofi Pasteur Representative to request printed materials. Telephone Patient Outreach Communications

1 Drive-Thru Clinic Information Hello, this is [Name]. I’m calling to let you know that [Office Name] will be holding a drive-thru immunization clinic on [Date] at [Location]. We know you may not be comfortable coming into the office for vaccination during these uncertain times, but it’s now more important than ever to adhere to the CDC immunization schedule for your age group to help protect against a variety of vaccine- preventable diseases. One of the best ways to do that is to get vaccinated, and we want you to feel comfortable doing so. The drive-thru immunization clinic provides you the opportunity to get CDC- recommended vaccinations without leaving your vehicle. Staff will wear personal protective equipment and follow all CDC guidelines to ensure safety for both you and our staff. To ensure minimal contact and smooth operation, we will ask you to email or fax a copy of your insurance card to us before the appointment, if it is not already on record. Call us back at [Office Number] between the hours of [Office Hours] to schedule your appointment or if you have any additional questions. Thank you! Goodbye. Telephone Patient Outreach Communications

Office Preparation General Reassurance 2 3 and Adjustments of Importance of Visits

Hello, this is [Name]. and Vaccinations I’m calling from [Office Name] and wanted Hello, this is [Name] from [Office Name]. to reach out to let you know that our I wanted to reach out and reassure you that practice’s number 1 priority is your safety, our practice’s number 1 priority is your safety, well-being, and peace of mind. well-being, and peace of mind. To minimize You may be uncomfortable with the idea of exposure to the COVID-19 virus and avoid well visits or, more importantly, visits for new overloading the health system, many people or existing ailments, but we encourage you to have put off coming in for well visits, as well still make an appointment. We are taking all as new or recurring ailments. necessary steps to ensure our office is ready While we understand these hesitations, for your visit, focusing on strict sanitation we are here for you, your family, your safety, and safety methods for all staff and visiting and, of course, your health. It’s now more patients. We also have instituted new hours important than ever to adhere to the CDC of [Days/Hours] and have reserved [Days/ immunization schedule for your age group Hours] for our older and at-risk patients to in order to help protect against a variety of minimize exposure. vaccine-preventable diseases. One of the If you have any questions about any of the best ways to do that is to get vaccinated. To new guidelines or would like to schedule an better navigate these uncertain times, our appointment, please call our office back office has now instituted new guidelines for at [Office Number] between the hours of all staff and visiting patients. Don’t put off [Office Hours]. coming into the office—call to make an appointment instead. Thank you! If you have questions about any of the new guidelines or would like to schedule an appointment, including vaccinations, please call our office back at [Office Number] between the hours of [Office Hours]. Thank you! Telephone Patient Outreach Communications

Adult Vaccination Pediatric/Adolescent 4a 4b Importance Reminder Vaccination Importance Hello, this is [Name] from [Office Name]. Reminder

I am calling to remind you that during these Hello, this is [Name] from [Office Name]. unprecedented times, it’s very important to I am calling to remind you that during these do what you can to help protect yourself unprecedented times, it’s very important to against vaccine-preventable diseases do what you can to help protect yourself for which we have vaccines, and that and your (child/children) against vaccine- means making sure you’re up-to-date preventable diseases for which we have with all vaccinations. vaccines, and that means making sure For older patients, it’s critical that you they’re up-to-date with all vaccinations. receive all vaccinations according to the It’s important to make sure your children CDC immunization schedule for your age are vaccinated against conditions such as group. Helping to protect yourself is now tetanus, diphtheria, pertussis, measles, and more important than ever, and one of the meningococcal meningitis. The CDC has best ways to do that is to get vaccinated. put forth an immunization schedule, and We will be holding a drive-thru immunization adhering to that schedule is critical for your clinic on [Date] at [Location] so you have (child’s/children’s) health. We will be holding the opportunity to get CDC-recommended a drive-thru immunization clinic on [Date] vaccinations without leaving your vehicle. at [Location] so you and your family have Your safety is our number 1 priority, so we also the opportunity to get CDC-recommended have instituted new hours of [Days/Hours] and vaccinations without leaving your vehicle. have reserved [Days/Hours] for our older and Call us back at [Office Number] to at-risk patients to minimize exposure. schedule your drive-thru immunization clinic Call us back at [Office Number] to appointment, an office visit, or if you have schedule your drive-thru immunization clinic any questions. appointment, an office visit, or if you have Thank you! any questions. Thank you! Email Patient Outreach Communications

1 Drive-Thru Clinic Information

Subject Line: We’re holding a drive-thru immunization clinic— schedule your appointment now.

Hello, During these unprecedented times, it is more important than ever to do what you can to help protect yourself against diseases that we currently have vaccines for, and that means making sure you’re up-to-date with all vaccinations. We also know that these are uncertain times and recognize you may not be comfortable coming into the office at this time for that vaccination, but it’s now more important than ever to adhere to the CDC immunization schedule for you age group to help protect against a variety of vaccine-preventable diseases. One of the best ways to do that is to get vaccinated. This is why we will be holding a drive-thru immunization clinic on [Date] at [Location]. We want to provide you the opportunity to get CDC- recommended vaccinations without leaving the comfort and safety of your vehicle. Our staff will of course be wearing personal protective equipment and following CDC guidelines to ensure your safety and ours. Call us at [Office Number] to schedule your appointment now. To ensure minimal contact and smooth operation, we will ask you to email or fax a copy of your insurance card to us before the appointment, if it is not already on record. If you have any questions or if you would like to schedule your drive-thru immunization clinic appointment, please give us a call at [Office Number] between the hours of [Office Hours].

Sincerely, [HCP/Office Staff] [Practice Name]

Email Patient Outreach Communications

2 Office Preparation and Adjustments

Subject Line: Your safety is our number 1 priority.

Sincerely, [HCP/Office Staff] [Practice Name] Email Patient Outreach Communications

4a GeneralAdult Vaccination Reassurance Importance of Importance Reminder of Visits 3 and Vaccinations Subject Line: Getting CDC-recommended vaccinations is now more Subjectimportant Line: than Don’t ever. put off your health. Come in for a visit.

Hello, WeDuring recognize these unprecedented that we are living times, in unprecedented it is more important times, than and ever we wantedto do what toyou reach can toout help and protect reassure yourself you that against our practice’s diseases thatnumber we currently1 priority haveis your safety, well-being,vaccines for, and and peace that means of mind. getting Many CDC-recommended have put off well visits vaccinations. or have been For reluctant toolder come patients, in with it’s new critical or recurring that you ailments receive toall minimize vaccinations exposure according to the COVID-19to the virus andCDC to immunization not overload schedule the health for system. your age group. Helping to protect yourself is now more important than ever, and one of the best ways to do that is to get We understand and we want to reassure you that we are here for you, your family, vaccinated. your safety, and, of course, your health. It’s now more important than ever to adhere toWe the are CDC here immunization for you during schedule these uncertain for your timesage group to provide in order you to the help care protect and againstservice you’vea variety always of vaccine-preventable trusted. We will be holding diseases. a drive-thruOne of the immunization best ways to clinicdo that is toon get [Date] vaccinated. at [Location] While so our you office have thehas opportunityalways focused to get on routine strict sanitation vaccinations and safety withoutmethods, leaving we have the now comfort instituted and safetynew guidelines of your vehicle. for all staffWhile and our visitingoffice patients.has We alwaysare fully focused staffed andon strict ready sanitation for you. andHealth safety is of methods,the utmost we importance, have now institutedespecially newnow, guidelinesand we encourage for all staff you and to visiting call and patients make toan ensure appointment, your safety either is our for a well visit numberand CDC-recommended 1 priority. vaccinations or for new or recurring ailments. CallIf you us have at [Office any questions Number] about to schedule any of yourthe newdrive-thru guidelines immunization or would cliniclike to schedule appointmentan appointment, or an including office visit.vaccinations, We have instituted please call new our hours office of [Days/Hours]at [Office Number] and betweenhave reserved the hours [Days/Hours] of [Office for Hours]older. patients (65+) to further minimize exposure. We look forward to seeing you; if you have any questions, please don’t hesitate Sincerely,to call our office. [HCP/Office Staff] [PracticeSincerely, Name] [HCP/Office Staff] [Practice Name] Email Patient Outreach Communications

4a Adult Vaccination Importance Reminder

Subject Line: Getting CDC-recommended vaccinations is now more important than ever.

Hello, During these unprecedented times, it is more important than ever to do what you can to help protect yourself against diseases that we currently have vaccines for, and that means getting CDC-recommended vaccinations. For older patients, it’s critical that you receive all vaccinations according to the CDC immunization schedule for your age group. Helping to protect yourself is now more important than ever, and one of the best ways to do that is to get vaccinated. We are here for you during these uncertain times to provide you the care and service you’ve always trusted. We will be holding a drive-thru immunization clinic on [Date] at [Location] so you have the opportunity to get routine vaccinations without leaving the comfort and safety of your vehicle. While our office has always focused on strict sanitation and safety methods, we have now instituted new guidelines for all staff and visiting patients to ensure your safety is our number 1 priority. Call us at [Office Number] to schedule your drive-thru immunization clinic appointment or an office visit. We have instituted new hours of [Days/Hours] and have reserved [Days/Hours] for older patients (65+) to further minimize exposure. We look forward to seeing you; if you have any questions, please don’t hesitate to call our office.

Sincerely, [HCP/Office Staff] [Practice Name] Email Patient Outreach Communications

4b Pediatric/Adolescent Vaccination Importance Reminder

Subject Line: Make sure to help protect your family against vaccine-preventable diseases.

Hello, During these unprecedented times, it’s more important than ever to do what you can to help protect yourself and your (child/children) against diseases that we currently have vaccines for, and that means getting CDC-recommended vaccinations. It’s important to make sure your children are vaccinated against conditions such as tetanus, diphtheria, pertussis, measles, and meningococcal meningitis. The CDC has put forth an immunization schedule and adhering to that schedule is critical for your (child’s/children’s) health. We are here for you and your family during these uncertain times to provide the care and service you’ve always trusted. We will be holding a drive-thru immunization clinic on [Date] at [Location] so you and your family have the opportunity to get your routine vaccinations without leaving the comfort and safety of your vehicle. While our office has always focused on strict sanitation and safety methods, we have now instituted new guidelines for all staff and visiting patients to ensure your safety is our number 1 priority. Call us at [Office Number] to schedule your drive-thru immunization clinic appointment or an office visit. We have instituted new hours of [Days/Hours]. We look forward to seeing you and your family; if you have any questions, please don’t hesitate to call our office.

Sincerely, [HCP/Office Staff] [Practice Name] EHR/Health Portal Patient Outreach Communications

1 Drive-Thru Clinic Information

Subject Line: We’re holding a drive-thru immunization clinic—schedule your appointment now.

Hello, We will be holding a drive-thru immunization clinic on [Date] at [Location]—allowing you to get your CDC-recommended vaccinations without leaving your vehicle. Although you may not be comfortable coming into the office for vaccination during these uncertain times, it’s now more important than ever to adhere to the CDC immunization schedule for your age group to help protect against a variety of vaccine-preventable diseases. One of the best ways to do that is to get vaccinated.

Staff will wear personal protective equipment and follow all CDC guidelines to ensure safety for both you and our staff.

Please email or fax a copy of your insurance card to us before the appointment, if not already on record, to ensure minimal contact and smooth operation. If you have any questions, or if you would like to schedule your drive-thru immunization clinic appointment, please give us a call at [Office Number] between the hours of [Office Hours].

Sincerely, [HCP/Office Staff] [Practice Name]

EHR/Health Portal Patient Outreach Communications

2 Office Preparation and Adjustments

Subject Line: Your safety is our number 1 priority.

Hello, We wanted to reach out to let you know that our practice’s number 1 priority is your safety, well-being, and peace of mind. You may be uncomfortable with the idea of well visits or, more importantly, visits for new or existing ailments, but we encourage you to still make an appointment. We are taking all necessary steps to ensure our office is ready for your visit, with a focus on strict sanitation and safety methods. New guidelines include: • Wiping down all surfaces after each patient use • Separating waiting room seating, ensuring adequate stock of personal protective equipment • Requiring staff to wear masks and gloves at all times • New office hours of [Days/Hours] • Reserved [Days/Hours] for our older and at-risk patients to minimize exposure If you have any questions about any of the new guidelines, or would like to schedule an appointment, please call our office at [Office Number] between the hours of [Office Hours].

Sincerely, [HCP/Office Staff] [Practice Name] EHR/Health Portal Patient Outreach Communications

General Reassurance of Importance of Visits 3 and Vaccinations

Subject Line: Don’t put off your health. Come in for a visit.

Hello, We wanted to reach out and reassure you that the practice’s number 1 priority is your safety, well-being, and peace of mind. To minimize exposure to the COVID-19 virus and avoid overloading the health system, many people have put off coming in for well visits, as well as new or recurring ailments. While we understand these hesitations, we are here for you, your family, your safety, and, of course, your health. It’s now more important than ever to adhere to the CDC immunization schedule for your age group in order to help protect against a variety of vaccine-preventable diseases. One of the best ways to do that is to get vaccinated. To better navigate these uncertain times, our office has now instituted new guidelines for all staff and visiting patients. Don’t put off coming into the office—call to make an appointment instead. If you have questions about any of the new guidelines, or would like to schedule an appointment, including CDC-recommended vaccinations, please call our office at [Office Number] between the hours of [Office Hours].

Sincerely, [HCP/Office Staff] [Practice Name] EHR/Health Portal Patient Outreach Communications

4a Adult Vaccination Importance Reminder

Subject Line: Getting CDC-recommended vaccinations is now more important than ever.

Hello, During these unprecedented times, it is more important than ever to do what you can to help protect yourself against diseases that we currently have vaccines for, and that means getting CDC-recommended vaccinations. For older patients, it’s critical to get all vaccinations according to the CDC immunization schedule for your age group. Helping to protect yourself is now more important than ever and one of the best ways to do that is to get vaccinated. We will be holding a drive-thru immunization clinic on [Date] at [Location] so you have the opportunity to get routine vaccinations without leaving your vehicle. Your safety is our number 1 priority, so we also have instituted new hours of [Days/Hours] and have reserved [Days/Hours] for our older and at-risk patients to minimize exposure. Call us at [Office Number] to schedule your drive-thru immunization clinic appointment, an office visit, or if you have any questions. Thank you!

Sincerely, [HCP/Office Staff] [Practice Name] EHR/Health Portal Patient Outreach Communications

4b Pediatric/Adolescent Vaccination Importance Reminder

Subject Line: Make sure to help protect your family against vaccine-preventable diseases.

Hello,

During these unprecedented times, it is more important than ever to do what you can to help protect yourself and your (child/children) against diseases that we currently have vaccines for, and that means getting CDC-recommended vaccinations. It’s important to make sure your children are vaccinated against conditions such as tetanus, diphtheria, pertussis, measles, and meningococcal meningitis. The CDC has put forth an immunization schedule and adhering to that schedule is critical for your (child’s/children’s) health. We will be holding a drive-thru immunization clinic on [Date] at [Location] so you and your family have the opportunity to get routine vaccinations without leaving your vehicle. Call us at [Office Number] to schedule your drive-thru immunization clinic appointment, an office visit, or if you have any questions. Thank you.

Sincerely, [HCP/Office Staff] [Practice Name] Text/Social Media Patient Outreach Communications

1 Drive-Thru Clinic Information

HELP PROTECT YOURSELF. GET YOUR NECESSARY VACCINATIONS. You may not be comfortable coming into the office for your necessary vaccinations. So, we will be holding a drive-thru immunization clinic on [Date]. Contact us for more information.

GET YOUR NECESSARY VACCINATIONS AT THE DRIVE-THRU. We will be holding a drive-thru immunization clinic on [Date] so you can get your CDC-recommended vaccinations without leaving the comfort or safety of your vehicle. Contact us for more information.

YOUR NECESSARY VACCINATIONS ARE AROUND THE CORNER. A new drive-thru immunization clinic is opening near you. So you can get your CDC-recommended vaccinations according to your age group’s CDC immunization schedule without leaving the comfort and safety of your vehicle. Call to make an appointment. Text/Social Media Patient Outreach Communications

Office Preparation General Reassurance 2 3 and Adjustments of Importance of Visits

SAFETY FIRST. YOUR HEALTH CAN’T WAIT. With every protective and sanitary measure We are here for you and your family during in place, we encourage you to make these uncertain times to provide the care an appointment for a well visit or, more and service you’ve always trusted. Don’t wait. importantly, for new or existing ailments. Make an appointment today.

BE CERTAIN IN UNCERTAIN TIMES. DON’T LET CONCERN ABOUT COVID-19 While our office has always focused COMPROMISE YOUR HEALTH. on strict sanitation and safety methods, We understand, and we want to reassure we have now instituted new guidelines you that our office has now instituted new for all staff and visiting patients so you guidelines for all staff and visiting patients can safely come in for a visit. so you can safely come in. Make an appointment today. Text/Social Media Patient Outreach Communications

Adult Vaccination Pediatric/Adolescent 4a 4b Importance Reminder Vaccination Importance Reminder VACCINATION IS IN YOUR CONTROL. During these unprecedented times, it’s BACK TO SCHOOL— now more important than ever to adhere OR LEARNING FROM HOME to the CDC immunization schedule for During these unprecedented times, it’s your age group. Help protect yourself now more important than ever to help against a variety of vaccine-preventable protect your children. Make sure they’re diseases—get vaccinated. Make an vaccinated against conditions such as appointment today. tetanus, diphtheria, pertussis, measles, and meningococcal meningitis. The CDC has put forth an immunization schedule, and KEEPING THE FOCUS ON YOU. adhering to that schedule is critical for your It’s critical that you receive all CDC- (child’s/children’s) health. Make recommended vaccines to help protect an appointment today. against a variety of vaccine—preventable diseases. Call to make an appointment. YOUR CHILD’S CDC-RECOMMENDED VACCINATION IS AROUND THE CORNER. IT’S TIME FOR PREVENTATIVE VACCINES. We will be holding a drive-thru immunization During these unprecedented times, it’s now clinic on [Date] at [Location] so your more important than ever to adhere to the child can get their CDC-recommended CDC immunization schedule for your age vaccinations without leaving the comfort group. Help protect yourself against a and safety of your vehicle. variety of vaccine-preventable diseases— Call for information. get vaccinated.

HELP PROTECT YOUR CHILDREN AGAINST VACCINE-PREVENTABLE DISEASES. Make sure they’re vaccinated against conditions such as tetanus, diphtheria, pertussis, measles, and meningococcal meningitis. The CDC has put forth an immunization schedule, and adhering to that schedule is critical for your (child’s/children’s) health. Make your appointment today.

Brought to you by Sanofi Pasteur Inc. MAT-US-2014467 | 07/2020 ONE-STOP SHOT DRIVE-THRU IMMUNIZATION CLINIC PERFORM

The day of the clinic has arrived. The cars are starting to roll in. Time to shift immunization into gear. We’ve also included a collection of helpful signage to promote smooth operation, including a poster with information on symptoms, directional signs, and protocol instructions and reminders. Also included is a link to download patient education materials highlighting statistics around vaccine-preventable diseases.

Signage

Proper vaccination helps protect you and those around you STOP MAT-US-2014452 | 07/2020 HERE

MAT-US-2014457 | 07/2020

STOP HERE SIGN DIRECTIONAL ARROWS

Have all waivers, paperwork, and your 1 insurance card ready for checkout, in case they are needed.

Only credit cards and payment 6 feet 2 methods on file will be accepted.

A receipt will be sent to your email 3 on file if requested.

MAT-US-2014459 | 07/2020 MAT-US-2014461 | 07/2020 MAT-US-2014462 | 07/2020

CONTACTLESS PERSONAL PROTECTIVE PHYSICAL DISTANCING CHECKOUT INFO EQUIPMENT REMINDER REMINDER ONE-STOP SHOT DRIVE-THRU IMMUNIZATION CLINIC PERFORM

Patient Education Materials—Pediatric

VAXRATESBYSTATE.COM

Patient Education Materials—Adolescent

16-YEAR-OLD MAGNETIC BACK TO SCHOOL SHARE2PROTECTTEENS.COM IMMUNIZATION SCHEDULE PATIENT BROCHURE

Patient Education Materials—Adult

Get Vaccinated Brought to you as a public health service by Sanofi Pasteur. Before You Visit

Brought to you as a public health service by VaxServe®, A SANOFI PASTEUR COMPANY. SAUS.PERTU.19.05.3149 | 6/19

PERTUSSIS PERTUSSIS/ DISCUSSION GUIDE FLU POSTER

Download the collection of LOGISTICAL SIGNAGE or request printed materials by contacting your Sanofi Pasteur Representative or visit VACCINESHOPPE.COM®. CLINIC CHECKLIST AND GOAL TRACKER To help you and your staff adapt to the new normal, and keep your patients up-to-date with their immunizations. It’s important to take a step back and start with a game plan. Use these resources to set goals, identify challenges, and identify what areas you and your office can focus on to increase vaccine acceptance and implement alternative immunization administration methods.

Clinic Together, we can Checklist Empower Immunization Success

Make sure you’re prepared for the day of your vaccination We can make a difference in clinic by looking over the the lives of our patients and help steps below. Check them off protect them from vaccine- once completed to keep the preventable diseases. day running smoothly. Let’s support the commitment to our immunization goals by continuing Drive-Thru Immunization Clinics to emphasize the importance of Patient insurance information has been received by the office or is already on record CDC-recommended vaccination. • There are no reimbursement issues with insurance if using a location other than the office

Safety procedures have been instituted and communicated, such as wearing a face mask and physical distancing or staying in their vehicle before the appointment OUR IMMUNIZATION GOAL: Review and discuss your practice’s liability coverage and other applicable policies to identify potential hazards and help ensure employee safety

Patients with appointments were encouraged to schedule upcoming preventative vaccines into one visit • For walk-ins, patient records have been checked and time set aside during the appointment to discuss additional preventative vaccinations, and if needed, a follow-up appointment has been scheduled REMEMBER: Every dose If implemented, separate lanes have been established for those with appointments and those without administered

Appropriate signage has been set up to communicate how to navigate the clinic helps protect another patient. Intake and immunization stations are staffed and easily identifiable

Ensure that you are able to properly set up refrigerator, cooler, and cold chain units to store and handle vaccines according to FDA-approved package inserts and CDC guidelines; consider generator and electrical outlet locations • Review CDC guidelines: https://www.cdc.gov/vaccines/hcp/admin/storage/index.html

Parents and caregivers have been notified to dress children in clothes with easy access to legs and/or arms to make certain vaccinations are easier to administer and to keep children in car seats if applicable

Brought to you by Sanofi Pasteur Inc. MAT-US-2014441 | 07/2020

To print the Clinic Checklist and Goal Tracker, PRINT PAGES 54-56, or either VISIT VACCINESHOPPE.COM® or contact your Sanofi Pasteur Representative to request printed materials. Clinic Checklist

Make sure you’re prepared for the day of your vaccination clinic by looking over the steps below. Check them off once completed to keep the day running smoothly.

Drive-Thru Immunization Clinics

Patient insurance information has been received by the office or is already on record • There are no reimbursement issues with insurance if using a location other than the office

Safety procedures have been instituted and communicated, such as wearing a face mask and physical distancing or staying in their vehicle before the appointment

Review and discuss your practice’s liability coverage and other applicable policies to identify potential hazards and help ensure employee safety

If implemented, separate lanes have been established for those with appointments and those without

Appropriate signage has been set up to communicate how to navigate the clinic

Intake and immunization stations are staffed and easily identifiable

Walk-Thru Immunization Clinics

Patient insurance information has been received by the office or is already on record

Signage has been put up to assist patients with navigating the clinic

If implemented, contactless checkout procedures have been communicated to patients

Safety procedures have been instituted, such as wearing a face mask and physical distancing or staying in their vehicle before the appointment

Parents and caregivers have been notified to dress children in clothes with easy access to the access to legs and/or arms to make certain vaccinations easier to administer

Inventory Management

Vaccine inventory aligns with appointment flow and all patient types are accounted for

If allowing walk-ins, extra vaccines are available to ensure enough supply

If using the Vaccines for Children (VFC) program, remember to review your inventory and order more vaccines if necessary. Should patients’ insurance status change, remember to communicate additional vaccine options available with the VFC program

Shipping has been coordinated with your sales representative to make sure supplies are provided in a timely manner for this and any upcoming clinics

Staffing Needs

Enough staff has been secured to handle any potential surges in patient volume

Staff is comfortable interacting with a larger number of patients than usual

If applicable, staff is alternated between multiple clinics to avoid burnout

Tools and resources have been established to process payment and billing

Brought to you by Sanofi Pasteur Inc. MAT-US-2014440 | 07/2020 Together, we can Empower Immunization Success

We can make a difference in the lives of our patients and help protect them from vaccine- preventable diseases.

Let’s support the commitment to our immunization goals by continuing to emphasize the importance of CDC-recommended vaccination.

OUR IMMUNIZATION GOAL:

REMEMBER: Every dose administered helps protect another patient.

Brought to you by Sanofi Pasteur Inc. MAT-US-2014441 | 07/2020 TELEHEALTH: Navigating the Vaccination Discussion During COVID-19

With the ongoing COVID-19 pandemic, many of your patients who normally come into the office may now be using telehealth to connect with you and your staff. Communicating the need for necessary vaccinations according to the CDC immunization schedule is now more critical than ever to help protect patients. Telehealth appointments offer you the opportunity to foster trust and acceptance by emphasizing the importance of getting CDC-recommended vaccinations, which then opens the door to get patients on the schedule for immunization. This module provides you with best practices and guidance for turning video appointments into successful vaccinations.

To print the Telehealth Guide, PRINT PAGES 58-59, or either VISIT VACCINESHOPPE.COM® or contact your Sanofi Pasteur Representative to request printed materials. FOR TELEHEALTH USE: Navigating the Vaccination Discussion During COVID-19

With the ongoing COVID-19 pandemic, it is essential that patients are protected against diseases that we have vaccines for. During these uncertain times, the usual in-office visit may transition to telehealth appointments, so communicating the need for CDC-recommended vaccinations is more important than ever before.

SOLUTION: During their next telehealth appointment, help protect your patients as they navigate a new normal by emphasizing the importance of getting routine vaccinations.

Here you will find general Planning Tips planning tips on how to best guide your virtual Know Keep the appointment structured so there vaccination discussion the Flow is enough time to go into detail about your before, during, and after patient’s vaccination plans the appointment: Have the Make sure your workspace is ready for We’ve broken it down into Right Tools telemedicine appointments to ensure step-by-step instructions for clear communication with the patient 3 phases: Help Patients Alleviate any concerns about in-office visits and Preappointment Stress Less explain that changes have been made to allow 1 Prep for strict sanitation and safety methods 2 During the Appointment Follow If the patient did not make a vaccination Through appointment during the telehealth call, the After the 3 office should reach out to patients after their Appointment appointment to confirm when they will be coming in for their vaccination How to Navigate the Vaccination Discussion Guidelines for Each Step of Your Telehealth Appointment

1 Preappointment Prep

Review Patient Immunization Records • When setting an appointment, review a patient’s medical record to help prepare notes and important discussion points for their scheduled call • Use factors such as age or pre-existing health conditions to help guide your discussion • Telehealth appointments also allow you to review patients’ vaccination records beforehand, inform them of any CDC-recommended vaccines they are due and schedule a vaccination appointment during your call. Walk-ins still allow you to check records, and time should be set aside for the vaccination discussion, though follow-up appointments may become necessary Give Yourself Enough Time • Make sure your appointment is structured so that you can discuss your patient’s vaccination plans and answer any questions they may have

Connection Is Key • Technical issues are an inevitable reality for telehealth appointments. Making sure your digital workspace is ready will prevent misunderstandings or lost information due to audio issues

2 During the Appointment

Stress the Importance of Annual Preventative Vaccination • Advise that it is important to adhere to the recommended vaccination schedules for a patient’s age group

Educate on Additional Preventative Measures • Explain how basic hygiene methods, like washing hands frequently, along with physical distancing and wearing a mask or face covering, may help protect against disease, reinforcing that one of the best ways to help prevent disease is by getting vaccinated Alleviate Concerns for In-office Vaccination • Reassure patients that the office is still open and that all efforts are being made to allow for strict sanitation and safety methods Set Up the Next Steps • Encourage patients to schedule an appointment for CDC-recommended vaccinations during the appointment, and if they choose not to do it then, remind them that they can call the office at any time to schedule

3 After the Appointment

Send a Vaccination Appointment Confirmation or Scheduling Reminder • If the patient did not make a vaccination appointment during the telehealth call, the office should reach out to schedule their vaccination appointment. The importance of vaccination during these uncertain times should be reemphasized if there is still reluctance, and you should advise the patient to visit a retail location for vaccinations as a final attempt ADAPTIVE VACCINATION SOLUTIONS Resource Links

Below, you’ll find a variety of helpful resources that provide guidance and suggestions on alternative immunization administration.

CDC: Vaccination Guidance During a Pandemic Federal guidance resources for vaccine planning during the COVID-19 pandemic https://www.cdc.gov/vaccines/pandemic-guidance/index.html

Repository of Resources for Maintaining Immunization During the COVID-19 Pandemic Immunization Coalitions Network links for vaccination support https://www.immunizationcoalitions.org/resource-repository/

CDC: Framework for Healthcare Systems Providing Non-COVID-19 Clinical Care During the COVID-19 Pandemic CDC guidance and suggestions for practices offering care https://www.cdc.gov/coronavirus/2019-ncov/hcp/framework-non-COVID-care.html

Simulation and Optimization Modeling for Drive–Through Mass Vaccination— A Generalized Approach An analysis of drive-thru models with findings and directions https://commons.erau.edu/cgi/viewcontent.cgi?article=1000&context=ww-management-science

American Academy of Pediatrics #SafePedsHealthyKids Resource Toolkit A comprehensive kit with materials and operational plans focused on protecting pediatric patients http://ohioaap.org/wp-content/uploads/2020/05/SafePedsHealthyKids-Toolkit.pdf

Indiana State Department of Health Guide for Hosting Mass Vaccination Clinics Operational considerations and step-by-step instructions for every phase of running a mass vaccination clinic https://www.in.gov/isdh/files/LHDGuideforHostingaMassVaccinationClinic.pdf

Connecticut Immunization Program State guidance around immunization efforts https://portal.ct.gov/DPH/Immunizations/CONNECTICUT-IMMUNIZATION--PROGRAM

WellConnect Sanofi Pasteur’s recall system that can help improve patient health and make your office more efficient. Log in to your account on VaccineShoppe.com® in order to learn more about this system and access sample patient recall scripts https://www.vaccineshoppe.com/ ADAPTIVE VACCINATION SOLUTIONS

VISIT VACCINESHOPPE.COM® OR CONTACT YOUR SANOFI PASTEUR REPRESENTATIVE TO ORDER ADDITIONAL PATIENT EDUCATION MATERIALS FOR YOUR OFFICE.