Get Vfc Order Form - California Department Of Public Health ... - Cdph Ca

The VFC Order Form is an essential document for clinics and healthcare providers participating in the Vaccines for Children Program in California. This guide will provide you with clear and concise instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully fill out the VFC Order Form online.

1. Press the ‘Get Form’ button to obtain the VFC Order Form and open it in your preferred editing tool.
2. Enter your clinic's six-digit Provider Identification Number (PIN) in the designated field. This number is necessary for processing your order.
3. Provide the name of your facility as registered in the VFC Program. Ensure it matches the name used during enrollment.
4. Specify the delivery address for the vaccines. Check the box if this is a new address. Remember to include a letter of notification for address changes.
5. Indicate the days and times you are available to receive vaccine deliveries, taking into account any lunchtime closures.
6. Document the number of doses of VFC vaccines used since your last order to help maintain accurate inventory records.
7. List the current inventory of VFC vaccines, including their lot numbers and expiration dates. Ensure you include the total number of doses on hand.
8. Select the vaccine products you wish to order, specifying the number of doses requested in multiples of ten.
9. Indicate your preferred packaging for the vaccines. If no preference is noted, the VFC Program will provide the available stock.
10. Once the form is completed, fax it to (877) 329-9832 or mail it to the address provided on the form. Always keep a copy for your records.

Complete your VFC Order Form online today to ensure timely processing of your vaccine order.