Get Ct Vaccine Order Form (vof) 2020-2025

The CT Vaccine Order Form (VOF) is essential for healthcare providers to order vaccines from the Connecticut Vaccine Program. This guide will assist you in accurately completing the form online, ensuring that your orders are processed quickly and efficiently.

Follow the steps to successfully fill out the CT Vaccine Order Form.

1. Press the ‘Get Form’ button to download the VOF and open it in the appropriate editing tool.
2. Fill in the facility name and shipping address at the top of the form. Ensure this information is accurate to avoid shipping issues.
3. Indicate the date of the order and your name under the 'Completed by' section. Provide your phone number for any follow-up communication as needed.
4. Complete the section on doses ordered. Enter the number of doses needed for each vaccine, rounding to the pack size indicated.
5. In the vaccine inventory section, record the number of doses on hand, along with the corresponding lot numbers and expiration dates for each vaccine type.
6. Document the doses administered, specifying the month and year for which you are reporting. This information should only include state-supplied vaccines.
7. Check that your totals balance and resolve any discrepancies to ensure the accuracy of the information provided.
8. Before finishing, be sure to save your form. You can choose to download, print, or email the completed VOF as required.
9. Submit the finalized form via email to dph.immunizations@ct.gov or by clicking the 'Submit' button on the form, and remember to keep a copy for your records.

Complete your CT Vaccine Order Form online today to ensure a timely vaccine order process!