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Maryland Vaccines For Children Program 20102011 Influenza Vaccine Inventory/Order Form Date: / / PIN (required): Facility Name: Delivery Address (if new): Contact Name: Phone #: Email: Fax #: Special
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How to fill out vfcinfluenza inventory form dec
How to fill out vfcinfluenza inventory form dec
01
To fill out the VFC Influenza Inventory Form Dec, follow these steps:
02
Enter the provider information section, including the provider's name, address, and contact information.
03
Indicate the date of the inventory form.
04
List all the influenza vaccines available in your inventory, including the brand name, dosage, and quantity.
05
Specify the vaccine presentation (e.g., single-dose vials, pre-filled syringes, multi-dose vials).
06
Enter the total number of vaccines received in the 'Vaccines Received' column.
07
Provide the beginning inventory count of each vaccine in the 'Beginning Balance' column.
08
Record the number of vaccines used in the 'Used' column.
09
Subtract the 'Used' quantity from the 'Beginning Balance' to calculate the 'Ending Balance' of each vaccine.
10
Note any doses wasted or damaged in the 'Wasted/Damaged' column.
11
Calculate the 'Ending Balance' by subtracting the wasted/damaged doses from the previous ending balance.
12
Enter any reconstituted doses in the 'Reconstituted Doses' column if applicable.
13
Total the 'Ending Balance' for each vaccine to get the 'Total Remaining Doses'.
14
Remember to sign and date the form.
15
Keep a copy of the form for your records.
Who needs vfcinfluenza inventory form dec?
01
The VFC Influenza Inventory Form Dec is needed by healthcare providers participating in the Vaccines for Children (VFC) program who administer influenza vaccines.
02
This form helps providers keep track of their influenza vaccine inventory, including the quantity received, used, wasted, and remaining.
03
It is important for healthcare providers to accurately fill out this form to ensure proper management and accountability of influenza vaccines provided through the VFC program.
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What is vfcinfluenza inventory form dec?
The vfcinfluenza inventory form dec is a document used to report the inventory of influenza vaccines for the Vaccines for Children (VFC) program.
Who is required to file vfcinfluenza inventory form dec?
Healthcare providers who participate in the VFC program are required to file the vfcinfluenza inventory form dec.
How to fill out vfcinfluenza inventory form dec?
Providers are required to report the total quantity of influenza vaccines in their inventory, including specific types and doses.
What is the purpose of vfcinfluenza inventory form dec?
The purpose of the vfcinfluenza inventory form dec is to ensure accurate tracking and distribution of influenza vaccines within the VFC program.
What information must be reported on vfcinfluenza inventory form dec?
Providers must report the total quantity of influenza vaccines on hand, the expiration dates, and any doses that have been administered.
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