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State of California Health and Human Services Agency California Department of Public Health PIN (6 digit) VACCINES FOR CHILDREN (AFC) PROGRAM PROVIDER PROFILE FORM COUNTY THIS IS NOT A VACCINE ORDER
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The VFC program provider profile is a document that contains information about a healthcare provider participating in the Vaccine for Children (VFC) program. It includes details such as the provider's contact information, immunization practices, and storage capabilities.
All healthcare providers who participate in the VFC program are required to file the VFC program provider profile. This includes doctors, clinics, hospitals, and other healthcare facilities that administer vaccines to eligible children.
To fill out the VFC program provider profile, providers need to download the profile form from the VFC program website. They must then complete the form by providing accurate and updated information about their practice, including contact details, immunization practices, and storage capabilities. The completed form can be submitted online or by mail to the designated VFC program administrators.
The purpose of the VFC program provider profile is to ensure that healthcare providers participating in the VFC program meet the necessary requirements for vaccine storage, administration, and accountability. It helps in assessing the capability and compliance of providers to ensure the proper management of vaccines and the safety of eligible children.
The VFC program provider profile requires providers to report various information, including their contact details, immunization practices, storage capabilities, refrigerator temperatures, vaccination rates, vaccine inventory management procedures, and compliance with VFC program policies and regulations.
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