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Get the free Vaccine Return and Transfer Form - Immunize Utah - health utah

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Vaccine Return and Transfer Form Fax to (801) 538-9440 prior to returning or transferring vaccine AFC PIN Date Submitted Phone with Area Code Clinic Name AFC Contact Person (Print) Vaccine Manufacturer
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Vaccine return and transfer refers to the process of returning or transferring unused or expired vaccines from one healthcare provider or facility to another.
Healthcare providers and facilities that have unused or expired vaccines are required to file vaccine return and transfer.
To fill out vaccine return and transfer, healthcare providers and facilities need to complete a designated form provided by the relevant authorities. The form typically requires information such as vaccine details, quantity, lot number, expiration date, and the sending and receiving parties.
The purpose of vaccine return and transfer is to ensure proper inventory management of vaccines, prevent wastage, and facilitate redistribution to locations where the vaccines are needed.
On the vaccine return and transfer form, healthcare providers and facilities must report details such as the vaccine type, quantity, lot number, expiration date, and the sending and receiving parties.
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