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• 2005 Provider Satisfaction Survey Results

Forms and Manuals

Vaccines for Children Program Operations Guide

http://www.cdc.gov/vaccines/programs/vfc/operations-guide.htm

All files below are Adobe PDF files of less than 1 MB and open in new window.

Vaccines for Children Program Forms

Influenza Vaccine Order Form 2008-2009 Season - September 4, 2009:
Flu Order Form

Provider Order Form - July 31, 2008:
Vaccine Report Form

New Provider Enrollment Form - July 1, 2008:
Provider Enrollment Form

Updated Provider Recertification Form - July 1, 2008:
Provider Recertification Form

New Vaccine Return and Waste Form - July 1, 2008:
Vaccine Return and Waste Form

Vaccine Usage Worksheet - June 9, 2008:
Vaccine Usage Worksheet

Provider Transporting Vaccines Form - January 8, 2008:
Transporting Vaccines for Off-Site Activities

Provider Order Form - May 23, 2007:
Varicella-containing Vaccine Order Form

Additional Vaccine Request Form - May 23, 2007:
Additional Vaccine Request Form

VFC Provider Handbook (Revised 2005)

Table of Contents

1. Introduction to Vaccines for Children Program
2. Provider Enrollment Information and Forms
3. Vaccines Available Through the VFC Program
   includes:
      Vaccine Reporting Requirements
      Vaccine Usage Worksheet Instructions
      Quarterly Vaccine Report Form Instructions
      Vaccine Inventory Balance Sheet Instructions
      Varicella Order Form Instructions
      Additional Vaccine Request Form Instructions
4. Vaccine Storage and Handling
   includes:
      Temperature Logs
       Vaccine Storage and Handling Check List
       Vaccine Management:
       Recommendations for Handling and Storage of Selected Biologicals
5. Transferring VFC Vaccines
   includes:
      Transferring VFC Vaccine Instructions
      Vaccine Return Form Instructions
6. Vaccine Information Statements (VIS)
   includes:
      VIS - link to CDC
      Vaccine Administration Record for Children and Teens Examples
      Florida SHOTS
      Immunization Resources on the Web
      Standards for Pediatric Immunization Practices (link)
      Vaccine Adverse Event Reporting System
      Provider Compliance and Monitoring
      Contact Information
7. Updates and Memos

Download complete manual in one Zip file (3.32 MB) - Zip files may require the installation of WinZip on pre-Windows XP machines. You may download a free trial version at: http://www.winzip.com/downwz.htm.