Get Vaccine Order

This guide provides a clear and supportive approach to filling out the Vaccine Order form online. By following these step-by-step instructions, you will ensure accurate and timely processing of your vaccine request.

Follow the steps to complete the Vaccine Order form accurately.

1. Click the ‘Get Form’ button to obtain the Vaccine Order form and open it for editing.
2. Enter your clinic's six-digit VFC PIN number. This number is essential for identifying your facility and can be found on your VFC shipping invoices.
3. Use the facility name you used during VFC Program enrollment. This ensures consistency and helps maintain accurate records.
4. Specify the delivery address for the vaccines. If you have a new address, check the designated box on the form and submit a letter regarding this change with your order.
5. Indicate the days and times when you can receive vaccine deliveries. Be sure to account for any lunch breaks or closures during these times.
6. Record the total doses of VFC vaccines you have used since your last order. This information can be gathered from your usage logs.
7. List your current inventory of VFC vaccines, including lot numbers and expiration dates. Make sure to total the doses on-hand.
8. Select the vaccines you wish to order and indicate the number of doses requested. Remember that doses must be in multiples of ten.
9. Specify your preferred packaging for the vaccines. Indicate if you have a specific preference; otherwise, the default will be what is currently in stock.
10. After completing the form, save your changes. You can then download, print, or share the form as required.

Complete your Vaccine Order online to ensure your request is processed efficiently.