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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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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.

  1. Click the ‘Get Form’ button to obtain the form and open it in your preferred document editor.
  2. 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.
  3. Provide an email address, the contact person's name, and their phone number for follow-up communications.
  4. Complete the section regarding the steps for returning non-viable or expired flu vaccines. Ensure you answer all questions completely to avoid processing delays.
  5. Indicate the number of boxes needing return shipping labels by filling in the relevant field.
  6. List each vaccine type you are returning in the corresponding fields, including the manufacturer, NDC, package description, number of doses returned, and reason code.
  7. If applicable, provide an explanation regarding any specific circumstances related to the returned vaccines in the designated field.
  8. Review all entered information for accuracy before proceeding.
  9. Save your changes, then download and print the completed form. You may also share it as needed for your records.
  10. 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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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
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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