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  • May-2014 Vfc Flu Return Form.xlsx - Colorado

Get May-2014 Vfc Flu Return Form.xlsx - Colorado

VFC FLU RETURN FORM FAX TO: (303) 691?6118 OR EMAIL TO: cdphe vfc state.co.us *For The Return of State Supplied Vaccine Only ? DO NOT MAIL VACCINE TO THE COLORADO VFC PROGRAM* VFC PIN#: DATE: FAX:.

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VFC records include, but are not limited to, VFC screening and eligibility documentation, billing records, medical records that verify receipt of vaccine, vaccine ordering records, and vaccine purchase and accountability records.

Required and recommended vaccines Diphtheria, tetanus and pertussis (DTaP, DTP, Tdap) Hepatitis B (Hep B) Measles, mumps, and rubella (MMR) Polio (IPV) Varicella (chickenpox)

The Colorado Immunization Information System (CIIS) is a lifelong immunization record tracking system under the Colorado Immunization Registry Act of 2007.

Any immunization record (original or copy) provided by a physician licensed to practice medicine or osteopathic medicine in any state or territory of the United States, registered nurse, delegated physician assistant, or public health official may be accepted by the school official as proof of immunization.

You can request an immunization record for yourself or your child from the Colorado Immunization Information System (CIIS). Immunization records from CIIS may not be complete. CIIS immunization records include what has been reported to and entered into CIIS.

CPT 90460 (immunization administration through 18 years via any route of administration, with counseling by physician) allows one (1) unit. CPT 90461(immunization administration through 18yrs via any route of administration, each additional vaccine) allows eight (8) units.

You can request an immunization record for yourself or your child from the Colorado Immunization Information System (CIIS). Immunization records from CIIS may not be complete. CIIS immunization records include what has been reported to and entered into CIIS.

Call us toll-free at 1.888. 611.9918 or 303.692. 2437 or email us at CDPHE.CIIS@state.co.us.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232