Get the free (vfc) program provider profile form supplemental - California ... - cdph ca
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State of California Health and Human Services Agency Department of Health Services VACCINES FOR CHILDREN (AFC) PROGRAM PROVIDER PROFILE FORM SUPPLEMENTAL COUNTY NAME OF PHYSICIAN S OFFICE, PRACTICE,
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What is vfc program provider profile?
The VFC Program Provider Profile is a form that healthcare providers participating in the Vaccines for Children Program must complete to be eligible to receive vaccines at no cost.
Who is required to file vfc program provider profile?
Healthcare providers participating in the Vaccines for Children Program are required to file the VFC Program Provider Profile.
How to fill out vfc program provider profile?
The VFC Program Provider Profile can be filled out online through the CDC's web-based ordering system or manually using the paper form provided by the program.
What is the purpose of vfc program provider profile?
The purpose of the VFC Program Provider Profile is to collect information about healthcare providers participating in the Vaccines for Children Program to ensure they meet program requirements and are eligible to receive vaccines.
What information must be reported on vfc program provider profile?
The VFC Program Provider Profile requires information such as healthcare provider contact information, provider type, clinic site information, vaccine storage and handling practices, provider agreement and signature.
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