Get Ak Vactrak School Contract 2017-2026

Filling out the AK VacTrAK School Contract online can seem challenging, but with the right guidance, you can navigate the process easily. This step-by-step guide will help you understand each section of the form and ensure you complete it accurately.

Follow the steps to successfully complete the AK VacTrAK School Contract.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. In Section I, provide the basic information for your school. This includes your school name, contact name, email address, mailing address, city, state, zip code, physical address, phone number, and fax number.
3. For Section II, consider if your school is interested in enrolling in the Alaska Vaccine Distribution Program. Select 'Yes' or 'No'. If you are a current participant, indicate 'Yes' and include your PIN number.
4. In Section III, answer the question about starting the onboarding process for electronic data exchange with 'Yes' or 'No'. If answering 'Yes', provide the necessary details about your electronic health record software, including the name, vendor, version, contact phone number, and email.
5. Review Section IV, which includes the End User License Agreement and Terms of Use. Ensure you understand the terms and conditions before proceeding.
6. For Section V, sign and date the document to certify that you have read and understood the agreement. Provide your printed name and the title or position you hold at the school.
7. Once all sections are completed, save your changes. You may then download, print, or share your completed form for submission.

Complete the AK VacTrAK School Contract online today to ensure your school's participation in the necessary immunization programs!