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This Form for AFC Vaccine only DO NOT report 317 or Private Vaccine on this form FLU VACCINE 2012-2013 SEASON Influenza Vaccine Request and Doses Administered Form PIN: Facility Name: State of Nevada
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What is vfc flu vaccine request?
The VFC flu vaccine request is a form that is submitted to request flu vaccines through the Vaccines for Children (VFC) program.
Who is required to file vfc flu vaccine request?
Healthcare providers or facilities that participate in the VFC program and administer flu vaccines are required to file the VFC flu vaccine request.
How to fill out vfc flu vaccine request?
The VFC flu vaccine request form can typically be filled out online or using a printable form provided by the VFC program. The form requires information such as provider details, vaccine quantities requested, and patient information. Specific instructions may vary depending on the state or jurisdiction.
What is the purpose of vfc flu vaccine request?
The purpose of the VFC flu vaccine request is to ensure that healthcare providers participating in the VFC program have access to flu vaccines for eligible children who may not otherwise have access to affordable vaccines.
What information must be reported on vfc flu vaccine request?
The VFC flu vaccine request typically requires reporting information such as provider details, vaccine types and quantities requested, patient information (including eligibility criteria), and any additional documentation or certifications required by the VFC program.
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