Tots Talk Back

To Contact Us:
Phone: 504-838-5300
Fax: 504-838-5206

1450 L & A Road
Metairie, LA 70001

My Child is NOT up-to-date with his/her shots because: Check All That Apply

of my inability to pay $10.00 administration fee.

my insurance does not cover immunizations.
clinic hours coincide with my work schedule.
I cannot make an appointment that is so
far in advance.

there is not a clinic convenient to me.
I have no transportation.
I don't think it is necessary until my child
goes to school.

my doctor/provider does not remind me when I am at his/her office.

I don't remember.

of my religious beliefs.

I feel the risk from vaccines is greater than the
risk of disease.

medical reasons.
Other: Please Specify
 






For More Information Call: 1-800-251-BABY