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Get the free VFC Re-enrollment Update Letter January 2016 - azdhs

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Division of Public Health Services Immunization Program Office Public Health Preparedness Services 150 N. 18th Avenue, Suite 120 Phoenix, Arizona 85007 (602) 3643630 (602) 3643285 FAX www.azdhs.gov
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How to fill out vfc re-enrollment update letter

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How to fill out VFC re-enrollment update letter:

01
Start by addressing the letter to the appropriate VFC program coordinator or contact person.
02
Include your organization's name, address, and contact information at the top of the letter.
03
Begin the letter by stating that you are submitting a re-enrollment update for the VFC program.
04
Clearly indicate your organization's enrollment status and provide any necessary identification numbers or codes.
05
Provide an update on any changes that may have occurred since your last enrollment, such as a change in location, contact person, or phone number.
06
If there have been changes in your vaccine storage and handling procedures, or improvements in your facility's equipment or capabilities, detail these in the letter.
07
Include any additional information that may be required by the VFC program, such as updated financial documentation or proof of staff training on vaccine administration.
08
Express your willingness to comply with all program requirements and regulations.
09
Conclude the letter by thanking the VFC program coordinator for their attention to your re-enrollment update.
10
Sign the letter and include any necessary attachments or supporting documents.

Who needs VFC re-enrollment update letter?

01
Organizations that are currently enrolled in the VFC program.
02
Organizations that have experienced changes to their enrollment status, such as changes in location or contact information.
03
Organizations that have made improvements in their vaccine storage and handling procedures or equipment.
04
Organizations that may be requested by the VFC program to provide updated information or documentation.
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VFC re-enrollment update letter is a form that needs to be filled out by providers participating in the Vaccines for Children program to update their enrollment information.
All providers participating in the Vaccines for Children program are required to file the VFC re-enrollment update letter.
The VFC re-enrollment update letter can typically be filled out online or through a paper form provided by the program. Providers must update their enrollment information accurately.
The purpose of the VFC re-enrollment update letter is to ensure that the enrollment information of providers in the Vaccines for Children program is up to date.
Providers must report any changes in their practice information, such as address, contact information, vaccines offered, storage requirements, etc.
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