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2015 VACCINES FOR CHILDREN PROGRAM PROVIDER AGREEMENT FACILITY INFORMATION Facility Name:AFC Pin#: Facility Address:City:County: State: Zip: Telephone:Fax: Shipping Address (if different from facility
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What is 2015 VACCINES FOR CHILDREN PROGRAM PROVIDER AGREEMENT Form?

The 2015 VACCINES FOR CHILDREN PROGRAM PROVIDER AGREEMENT is a document required to be submitted to the specific address in order to provide some info. It has to be completed and signed, which is possible in hard copy, or with a certain software like PDFfiller. This tool allows to fill out any PDF or Word document directly in your browser, customize it according to your purposes and put a legally-binding e-signature. Once after completion, user can easily send the 2015 VACCINES FOR CHILDREN PROGRAM PROVIDER AGREEMENT to the appropriate recipient, or multiple ones via email or fax. The editable template is printable too thanks to PDFfiller feature and options offered for printing out adjustment. Both in electronic and physical appearance, your form will have got neat and professional outlook. Also you can turn it into a template for further use, so you don't need to create a new blank form again. Just customize the ready document.

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The Vaccines for Children (VFC) program is a federally funded program that provides vaccines at no cost to children who might not otherwise be vaccinated because of inability to pay.
Health care providers who administer vaccines to children are required to participate in the VFC program and file relevant paperwork.
Health care providers can fill out the necessary paperwork for the VFC program by following the guidelines provided by the Centers for Disease Control and Prevention (CDC).
The purpose of the VFC program is to ensure that all children have access to necessary vaccinations, regardless of their ability to pay.
Information reported on the VFC program includes the number of vaccines administered, vaccine types, and patient demographics.
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