Get Vfc Vaccine Inventory/order Form - Dhss Delaware

Filling out the VFC Vaccine Inventory/Order Form accurately is essential for proper vaccine management. This guide will provide you with straightforward, step-by-step instructions to navigate the form with ease, ensuring that you complete it correctly and efficiently.

Follow the steps to complete the online form successfully.

1. Click ‘Get Form’ button to obtain the VFC Vaccine Inventory/Order Form and open it in your preferred editor. This step allows you to access the form you need to fill out.
2. Begin by entering your practice or facility name in the designated field (1). This information helps identify your facility in the vaccine distribution system.
3. Fill in the contact person’s name in field (2). This should be an individual responsible for the vaccine order and inventory.
4. Provide a telephone number where the contact person can be reached in field (3). Ensure the number is accurate to facilitate communication.
5. Enter your facility's fax number in field (4) if applicable, as this may be useful for communication regarding your order.
6. In field (5), input the current date. This information is necessary to track when the order was placed.
7. Provide the facility email address in field (6). This allows for electronic communication related to your inventory and orders.
8. Enter your assigned PIN in field (8). This personal identifier is important for processing your order.
9. In the delivery section, specify all days and times you may receive vaccine shipments. Include details about lunch hours if your facility is closed during certain times.
10. Complete the vaccine inventory section by indicating the brand, NDC, doses on hand, doses requested, and lot numbers for each vaccine type you are ordering.
11. Once all fields are completed, review the form for accuracy.
12. You can then save your changes, download, print, or share the form as needed to submit your vaccine order.

Begin filling out the VFC Vaccine Inventory/Order Form online to ensure your facility stays well-stocked with vaccine inventory.