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Kansas Immunization Program Vaccine Transfer Form Date: ___ Transferring Provider: Receiving Provider:Transferring Unit Name/Identifier:_________PIN:___PIN:___Regional Immunization Consultant Authorizing
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The wwwkdheksgov440vaccine-transfer-form-pdfkansas immunization program vaccine is a form used for transferring vaccines within the Kansas immunization program.
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Healthcare providers and facilities participating in the Kansas immunization program are required to file the wwwkdheksgov440vaccine-transfer-form-pdfkansas immunization program vaccine.
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