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Immunization Program

Northeast Nebraska Community Action Partnership is now serving both VFC and Privately Insured clients. To qualify for the VFC (vaccines for children) program a child must be at least 18 years of age or younger and meet one of the following: enrolled in Medicaid or Kids Connection, be uninsured or have no health coverage, is American Indian or Alaskan Native, or be under-insured (has health insurance that does not cover the cost of vaccines).

NENCAP is now proud to be serving clients with private insurance beginning June of 2014. If your child has insurance coverage provided through an employer plan, union or purchased from a private health insurance company your child is considered Privately Insured. A list of insurance companies that NENCAP contracts with include:

  • Blue Cross Blue Shield of Nebraska
  • Midland's Choice
  • Cigna
  • Co-Opportunity
  • United HealthCare/Golden Rule
  • Assurant Health
  • Time Insurance Co.
  • Arbor Health
  • Coventry

If your child is has Private insurance but you do not see your insurance company listed, please contact us at 402-385-6300 to discuss receiving immunizations at our clinics.

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


Basic Intake Form   

Click Here in English  Click Here in Spanish

Proxy Form

Click Here in English

Privacy Information Form (HIPPA Form)

Click Here in English  Click Here in Spanish 

Screening Questionnaire

Click Here  in English   Click Here  in Spanish

Inactivated Injectable Influenza Vaccination

Click Here in English   Click Here in Spanish

Intranasal Influenza Vaccination

Click Here  in English   Click Here in Spanish

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

Contact Us:
Northeast Nebraska Community Action Partnership

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


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

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

Child and Adolescent Vaccinations offered include:

  • IPV(Polio)

  • DTaP (Diphtheria, tetanus, acellular pertussis)
  • Td and Tdap ( Tetanus, Diphtheria & Tetanus, Diphtheria with Pertussis)
  • MMR (Measles, Mumps, Rubella)
  • Hib (Haemophilus B Influenzae)
  • HAV -(Hepatis A)
  • HBV (Hepatitis B)
  • Dtap-IPV/Hib (Pentacel)
  • Dtap-HBV-IPV (Pediarix)
  • Varicella (Chickenpox)
  • Rotavirus
  • Meningococal (MCV4) - Meningitis
  • Pneumococcal (PCV13) - Prevnar 13
  • HPV (Gardasil)
  • Influenza

    Adult Vaccines Offered include:
  • IPV(Polio)
  • Td and Tdap ( Tetanus, Diphtheria & Tetanus, Diphtheria with Pertussis)
  • MMR (Measles, Mumps, Rubella)
  • HAV -(Hepatis A)
  • HBV (Hepatitis B)
  • Pneumococcal (PCV13 & PPV23)
  • Zostavax (Shingles)
  • Influenza


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