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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How to fill out the May-2014 VFC FLU Return Form.xlsx - Colorado online
This guide will assist you in accurately completing the May-2014 VFC FLU Return Form.xlsx for Colorado. Following these steps will ensure that your return of non-viable or expired flu vaccine is processed efficiently.
Follow the steps to fill out the form correctly.
- Click the ‘Get Form’ button to obtain the form and open it in your preferred document editor.
- Fill in the basic information at the top of the form, including your VFC PIN#, date, fax number, and the name of your medical office or clinic.
- Provide an email address, the contact person's name, and their phone number for follow-up communications.
- Complete the section regarding the steps for returning non-viable or expired flu vaccines. Ensure you answer all questions completely to avoid processing delays.
- Indicate the number of boxes needing return shipping labels by filling in the relevant field.
- List each vaccine type you are returning in the corresponding fields, including the manufacturer, NDC, package description, number of doses returned, and reason code.
- If applicable, provide an explanation regarding any specific circumstances related to the returned vaccines in the designated field.
- Review all entered information for accuracy before proceeding.
- Save your changes, then download and print the completed form. You may also share it as needed for your records.
- Fax the completed page to the VFC Program and retain a copy of the form for your records.
Complete the necessary documents online today to ensure timely processing of your vaccine returns.
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Get answers to your most pressing questions about US Legal Forms API.
Which of the following are considered VFC program records?
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.
What vaccines are required in Colorado?
Required and recommended vaccines Diphtheria, tetanus and pertussis (DTaP, DTP, Tdap) Hepatitis B (Hep B) Measles, mumps, and rubella (MMR) Polio (IPV) Varicella (chickenpox)
What is the Colorado immunization Information System?
The Colorado Immunization Information System (CIIS) is a lifelong immunization record tracking system under the Colorado Immunization Registry Act of 2007.
Who can fill out Colorado certificate of immunization?
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.
How do you get immunization records in Colorado?
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.
What is CPT code 90460 and 90461?
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.
How do I get my immunization records in Colorado?
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.
What is the phone number for CIIS Colorado?
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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