Get Vaccine Return Form - Kfl&a Public Health - Kflapublichealth

This guide provides clear instructions on filling out the Vaccine Return Form for KFL&A Public Health. Users will find step-by-step guidance to ensure all required information is accurately completed.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the Vaccine Return Form and open it in your preferred digital editor.
2. Enter your office name and telephone number in the designated section to ensure accurate contact information.
3. Fill in the 'Return Date' field with the date you are submitting the return.
4. In the 'Vaccine' section, specify the type of vaccine you are returning.
5. Record the 'Lot #' number associated with the vaccine you are returning.
6. Indicate the 'Reason for Return' by selecting the appropriate code from the provided list: EX (expired), OD (outdated), R (reusable), ES (excess stock), or CCF (cold chain failure with subcategories for high, low, or shipping).
7. Specify the number of doses being returned in the '# of Doses' section.
8. Answer the question regarding whether the returned vaccines should be 'Return Refrigerated for Reuse' by marking 'Y' for yes or 'N' for no.
9. Review all entered information for accuracy before submission.
10. Save changes, download, or print the completed form, or share it as necessary.

Complete your Vaccine Return Form online to ensure a smooth and efficient process.