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Get the free Iowa Vaccines for Children (VFC) Program Provider Profile Form

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Iowa Vaccines for Children (VFC) Program Provider Profile Form Email: IowaVFC@hhs.iowa.gov Phone: 8008316293FACILITY INFORMATION Facility Name:VFC PIN (HHS use only):Primary Vaccine Coordinator Name:
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How to fill out iowa vaccines for children

01
Obtain the Iowa Vaccine for Children (IVFC) program enrollment form from the Iowa Department of Public Health website.
02
Fill out the provider information section, including your name, practice name, and contact details.
03
Complete the eligibility criteria by indicating the specific vaccines required for each child.
04
Gather necessary patient information including the child’s name, date of birth, and insurance information if applicable.
05
Submit the completed form to the Iowa Department of Public Health along with any required documentation.
06
Wait for confirmation of enrollment in the IVFC program and ensure access to vaccine inventory.

Who needs iowa vaccines for children?

01
Children under the age of 19 who are uninsured or underinsured.
02
Children who are Medicaid-eligible.
03
Children in foster care or those receiving public assistance programs.
04
Children who require vaccinations according to the CDC recommended immunization schedule.
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Iowa Vaccines for Children is a program that provides vaccines at no cost to eligible children in Iowa to ensure they receive necessary immunizations to protect against various diseases.
Health care providers and clinics that participate in the Iowa Vaccines for Children program are required to file for the vaccines administered to eligible children.
To fill out the Iowa Vaccines for Children forms, healthcare providers must provide patient details, vaccination information, and any other required documentation as specified by Iowa's public health guidelines.
The purpose of Iowa Vaccines for Children is to increase vaccination rates among children, reduce the incidence of vaccine-preventable diseases, and ensure access to vaccines for those who might not otherwise afford them.
Healthcare providers must report the child’s name, birthdate, vaccine type, dosage, administration date, and any other required demographic information.
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