Get Vfc Order Form - Odh Ohio

This guide provides clear, step-by-step instructions to assist users in filling out the Vaccines for Children (VFC) Order Form from the Ohio Department of Health online. By following these instructions, users can ensure that their vaccine orders are processed smoothly and efficiently.

Follow the steps to complete the online VFC Order Form.

1. Click the 'Get Form' button to access the VFC Order Form and open it in your preferred editor.
2. Begin by filling in the provider's name and contact information, including the VFC provider number, address, and telephone number.
3. Input your Medicaid number and ensure the city and zip code fields are accurately completed.
4. Record the refrigerator and freezer temperature readings for the past three months, including high and low temperatures for both appliances.
5. Indicate the date of your current inventory and fill in the required vaccine ordering section. Include the date of the previous inventory and relevant lot numbers along with expiration dates.
6. Complete the vaccine inventory section by detailing the previous inventory, vaccines received from ODH, total vaccines administered, and any transfers to or from another provider.
7. Detail any expired or wasted vaccines and confirm the current vaccine inventory at the time of the order.
8. Select the vaccines you wish to order, specifying the presentation and minimum dose order for each type.
9. Once all fields have been accurately filled out, review the form for completeness and accuracy before saving your changes.
10. Finally, you can download, print, or share the completed form as needed for submission.

Complete your vaccine orders online efficiently by following this guide.