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  • Forms – Immunization - Virginia Department of Health
    Screening Form; Health Department Vaccine Use Guidelines; Adult Vaccine Order Form; Split-dose box labels 50 (For use with Avery 8195 Label size: 2 3” x 1¾” ) Split-dose box labels 75 (For use with Avery 6870 Label size ¾” x 2 ¼”) Split-dose box labels SMALL (For use with Avery 6970 or 8160 Label size 1” x 2 5 8”)
  • Virginia Vaccines for Children (VVFC) – Immunization
    Virginia Vaccines for Children’s (VVFC) program is managed by the Virginia Department of Health (VDH), Division of Immunization (DOI) Through utilization of private and public providers, the VVFC program and DOI reduce barriers to immunizations
  • Pediatric Vaccine Order Form - Virginia Department of Health
    CDC recommends providers place orders when they are down to a 4-week inventory Placing smaller orders and maintaining a lower inventory decreases your risk of wasting vaccine should a spoilage incident occur
  • Vaccines for Children (VFC) Program Eligibility - CDC
    All VFC Program providers must screen for a child's eligibility to receive vaccines through the VFC Program and record the screening results during each visit The patient eligibility screening record provides a means of recording parent responses to VFC Program eligibility questions The parent, guardian or provider may complete this form
  • VFC Resources and Forms | Department of Health | Commonwealth of . . .
    VFC Resources and Forms January-February 2025 Immunization Newsletter Click below to order immunization materials from the PA Department of Health Adjust On-Hand Inventory (opens in a new tab)
  • VVFA Forms – Immunization - Virginia Department of Health
    Uninsured and underinsured adult clients should receive all ACIP recommended vaccines using DOI-supplied vaccine according to the current Recommended Adult Immunization Schedules: https: www cdc gov vaccines hcp imz-schedules adult-age html
  • Vaccines for Children Forms - NYC. gov
    The following forms, charts and handouts may be downloaded and used by you and your staff to complete necessary Vaccines for Children (VFC) program requirements
  • VFC Forms – California Vaccines for Children (VFC) - EZIZ
    California Vaccines for Children, VFC Online Immunization Training Vaccine storage, vaccine handling for California, health care providers
  • VACCINE BORROWING REPORT - Virginia Department of Health
    Completed forms must be retained as a VFC program record and made available to the State Local or Territorial Immunization Program upon request
  • Resources – Immunization - Virginia Department of Health
    Virginia Vaccines for Children (VVFC) Virginia Vaccines for Adults (VVFA) Virginia Immunization Information System (VIIS) Virginia Perinatal Hepatitis B Prevention (VPHBP) Program; Healthcare Personnel (HCP) and Vaccinations; Human Papillomavirus (HPV) Vaccine; International Travel; Worksite Wellness through Immunization





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