Perinatal Hepatitis B Prevention Materials

Forms

• Confidential Case Report Form for Mothers and Babies (PDF)
• Confidential case report form for King County Cases Only (PDF) - Complete the form and fax it to Public Health -- Seattle & King County: 206-296-4803 or call 206-296-4774
• Confidential Case Report Form for Reporting Infected Babies (PDF)

Letters

• Welcome Letter for Families (Word) - These documents can be used by Local Health Jurisdictions to send to newly enrolled families. They outline the Hepatitis B vaccination and testing schedule for newborns. Download the documents to enable form-fillable functionality.

  Welcome Letter for Families in additional languages

  Amharic - አማርኛ
  Arabic - العَرَبِية
  Bengali - বাংলা
  Burmese - မြန်မာ
  Chinese, Simplified - 简体中文
  Chinese, Traditional - 繁體中文
  Chuukese - Fosun Chuuk
  Dari - دری
  French - Français
  Hindi - हिन्दी
  Hmong - Mong
  Ilocano - Ilokano

  Indonesian - bahasa Indonesia
  Karen - ကညီၤ
  Khmer (Cambodian) - ភាសាខ្មែរ
  Korean - 한국어
  Lao - ພາສາລາວ
  Marshallese - Kajin Ṃajōḷ
  Mixteco Bajo - Ñuu savi
  Mongolian - ᠮᠣᠩᠭᠣᠯ ᠬᠡᠯᠡ
  Oromo - Oromiffa
  Pashto - پښتو
  Punjabi - ਪੰਜਾਬ
  Romanian - Română

  Russian - Русский
  Samoan - Faa-Samoa
  Somali - Af Soomaali
  Spanish - Español
  Tagalog - Wikang Tagalog
  Tamil - தமிழ்
  Telugu - తెలుగ
  Thai - ภาษาไทย
  Tigrinya - ትግርኛ
  Ukrainian - Українська мова
  Urdu - اُردُو
  Vietnamese - Tiếng Việt

• Serology (Blood) Testing Completed (Word)

Materials

• Hepatitis B and Moms-to-Be (HepBMoms Asian Liver Center) (PDF) - Outlines vaccination and testing schedule for newborns and Hepatitis B health considerations during and after pregnancy.

  Hepatitis B and Moms-to-Be in additional languages

  Chinese  - 繁體中文
  Spanish - Español
  Korean - 한국어
  Vietnamese - Tiếng Việt
  Tagalog - Wikang Tagalog
  Lao  - ພາສາລາວ
  Hmong - Mong
  English Hmong
  Mongolian - ᠮᠣᠩᠭᠣᠯ ᠬᠡᠯᠡ
   

• Hepatitis B Prevention: Asians and Pacific Islanders Information posters
• Know HBV (Asian Liver Center at Stanford University) (PDF) - Hepatitis B and liver cancer information specific to Asian and Pacific Islanders.

  Know HBV in additional languages

  English Hmong
  Burmese - မြန်မာ
  Chinese, Traditional - 繁體中文
  Chinese, Simplified - 简体中文
  Hmong - Mong
  Korean - 한국어
  Lao - ພາສາລາວ
  Spanish - Español
  Tagalog - Wikang Tagalog
  Vietnamese - Tiếng Việt
  Mongolian - ᠮᠣᠩᠭᠣᠯ ᠬᠡᠯᠡ

• Pediatric Care Provider Checklist (PDF)
• Mommy, Baby, and Hepatitis B (PDF) - What you need to know to protect you and your baby.
• What Asians and Pacific Islanders Need to Know About Hepatitis B - Resources about immunization.