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EMERGENCY DISPENSING SITE REGISTRATION FORM First Name Home Street Address (Not P.O. Box) MI City/Town 2 Check all that apply: 3 Date Zip Code Phone Enter the names & birthdates of all people for

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What is emergency dispensing site?

Emergency dispensing site is a location designated to distribute medications or vaccines during public health emergencies.

Who is required to file emergency dispensing site?

Healthcare facilities, pharmacies, and other medical providers may be required to file emergency dispensing site plans.

How to fill out emergency dispensing site?

Emergency dispensing site plans can typically be filled out online or submitted through a designated system provided by the local health department or regulatory agency.

What is the purpose of emergency dispensing site?

The purpose of an emergency dispensing site is to ensure that necessary medications or vaccines can be distributed quickly and efficiently during a public health emergency to protect the public.

What information must be reported on emergency dispensing site?

Information such as location, contact person, type of medications or vaccines available, hours of operation, and emergency protocols must be reported on an emergency dispensing site plan.

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