Form preview

Get the free WV Vaccines for Children Program - Provider Profile - wvdhhr

Get Form
This document is used by health care providers participating in the Vaccines for Children (VFC) program to provide shipping information and determine vaccine supply requirements.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign wv vaccines for children

Edit
Edit your wv vaccines for children form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your wv vaccines for children form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing wv vaccines for children online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the steps below to use a professional PDF editor:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit wv vaccines for children. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
pdfFiller makes working with documents easier than you could ever imagine. Create an account to find out for yourself how it works!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out wv vaccines for children

Illustration

How to fill out WV Vaccines for Children Program - Provider Profile

01
Visit the WV Vaccines for Children Program website.
02
Download the Provider Profile form.
03
Fill in your practice information including name, address, and contact details.
04
Specify the type of vaccines your facility can provide.
05
Indicate the number of children your practice serves annually.
06
Provide information on staff who will administer vaccines.
07
Review all entries for accuracy.
08
Submit the completed form as instructed on the website.

Who needs WV Vaccines for Children Program - Provider Profile?

01
Healthcare providers who wish to offer vaccines to children in need.
02
Practices looking to participate in the WV Vaccines for Children program.
03
Hospitals and clinics providing pediatric care.
04
Any provider serving children up to age 18 who may qualify for free or reduced-cost vaccines.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.4
Satisfied
44 Votes

People Also Ask about

The Vaccines for Children (VFC) program helps provide vaccines to all West Virginia children whose parents or guardians may not be able to afford them. This helps ensure that all children have a better chance of getting their recommended vaccinations on schedule.
*My location has identified key staff who will oversee the VFC Program at the location, and be responsible for vaccine management and vaccine ordering activities. These key roles include: a provider of record, a primary vaccine coordinator, a backup vaccine coordinator, and a provider of record designee.
GRAPHICS AgeVaccineDose 12 months Measles, mumps, rubella (MMR) 1 of 2 Hepatitis A (HepA) 1 of 2 15 months Diphtheria, tetanus, pertussis (DTaP) 4 of 5 18 months Hepatitis A (HepA) 2 of 230 more rows • Aug 30, 2024
Make an appointment for your child to get caught up if they haven't received vaccines to protect against any of the following diseases: Chickenpox. Hepatitis A. Hepatitis B. Measles, mumps, and rubella. Polio. Tetanus, diphtheria, and whooping cough (pertussis)
NHS vaccination schedule AgeVaccines 2 to 15 years Children's flu vaccine (every year until children finish Year 11 of secondary school) 3 years and 4 months MMR vaccine (2nd dose) 4-in-1 pre-school booster vaccine 12 to 13 years HPV vaccine 14 years Td/IPV vaccine (3-in-1 teenage booster) MenACWY vaccine1 more row
The VFC program was established by Congress in 1994 in response to measles outbreaks in 1989–1991. The program provides all recommended vaccinations against 19 different diseases at no cost to eligible children and helps ensure all U.S. children are protected from life-threatening diseases.
The VFC program was established by Congress in 1994 in response to measles outbreaks in 1989–1991. The program provides all recommended vaccinations against 19 different diseases at no cost to eligible children and helps ensure all U.S. children are protected from life-threatening diseases.
The VFC program is a federally funded program that provides free vaccines to children in the United States. It covers all the vaccines CDC recommends for babies, young children, and adolescents. These routine vaccines protect children from 16 dangerous diseases.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The WV Vaccines for Children Program - Provider Profile is a documentation requirement for healthcare providers that participate in the Vaccines for Children program, which helps ensure that eligible children receive necessary vaccinations at no cost.
Healthcare providers who wish to participate in the Vaccines for Children program are required to file the WV Vaccines for Children Program - Provider Profile.
To fill out the WV Vaccines for Children Program - Provider Profile, healthcare providers must accurately complete the form with relevant information about their practice, including provider details, practice location, and vaccine storage capabilities.
The purpose of the WV Vaccines for Children Program - Provider Profile is to gather essential information about providers to facilitate the distribution and administration of vaccines to children who are eligible for the program.
Information that must be reported includes the provider's name, contact information, practice details, vaccination storage capacity, and any other relevant data required by the program.
Fill out your wv vaccines for children online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.