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Community Health Protection Department Vaccine Preventable Disease Program Eligible Hepatitis A & B Vaccine Order Form The Health Unit will supply Hepatitis A and Hepatitis B vaccine to health care

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What is vaccine order form?

The vaccine order form is a document used to request or place an order for vaccines from a supplier or manufacturer.

Who is required to file vaccine order form?

Healthcare facilities, such as hospitals, clinics, and pharmacies, that administer vaccines are required to file a vaccine order form.

How to fill out vaccine order form?

To fill out a vaccine order form, you need to provide information such as the type and quantity of vaccines needed, the delivery address, and contact information of the healthcare facility.

What is the purpose of vaccine order form?

The purpose of the vaccine order form is to ensure that healthcare facilities can request and receive an adequate supply of vaccines to administer to patients.

What information must be reported on vaccine order form?

Information such as the vaccine name, manufacturer, lot numbers, expiration dates, and quantity desired must be reported on the vaccine order form.

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