Get Immunications - Arizona Department Of Health Services - Azdhs

Filling out the IMMUNICATIONS form for the Arizona Department of Health Services can be a straightforward process. This guide will help users complete the application effectively and efficiently, ensuring all necessary information is accurately provided.

Follow the steps to fill out the IMMUNICATIONS form with ease.

1. Press the ‘Get Form’ button to acquire the form and open it for editing.
2. Begin by entering the primary VFC contact's information in the designated field. Ensure all details are accurate and up-to-date.
3. Next, provide the secondary VFC contact's information. This person should also be knowledgeable about storing and handling VFC vaccines.
4. Complete the vaccine receiving, storage, and handling section. Input the name of the person receiving the vaccines in the appropriate space.
5. Specify the location where vaccines will be stored immediately after receipt. This ensures proper storage from the onset.
6. Designate the individual responsible for checking received vaccines against the packing slip and contacting the VFC office for discrepancies within two hours.
7. Indicate who will place vaccines in the correct storage unit upon arrival.
8. Document that all VFC Program information, including packing slips, will be retained for three years. This is critical for compliance.
9. Enter the names of individuals responsible for morning and evening temperature monitoring of refrigerators and freezers.
10. Record the necessary temperature ranges for effective vaccine storage. Ensure they are between 35°F and 46°F for refrigerators and below 5°F for freezers.
11. Outline the procedures for notifying the VFC Program if temperatures are out of range.
12. Detail the storage requirements for vaccines, emphasizing central placement in storage units and avoiding food storage.
13. Complete the emergency plan section by stating who is responsible for reviewing and updating the plan annually.
14. Fill in the vaccine ordering and reporting schedule, designating the individual responsible for these tasks.
15. Indicate how often vaccines will be ordered and the amount of supply to be maintained at all times.
16. Document inventory control procedures and mention who is responsible for managing the VFC inventory.
17. Lastly, finalize the form by ensuring all sections are completed. Save your changes, download, print, or share the document as necessary.

Complete your IMMUNICATIONS form online today to ensure compliance and proper vaccine management!