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Vaccines for Children (AFC) Program Patient Eligibility Screening Record Form A record of all children 18 years of age or younger who receive immunizations must be kept in the health care providers.

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VFC eligibility is as follows: (a) Medicaid enrolled; (b) uninsured; (c) American Indian/Alaskan native; or (d) underinsured seen at an FQHC.

Individuals five years and older Individuals 6 months of age and older who never got a COVID-19 vaccine can be vaccinated this Spring 2024. See table below for specific recommendations. Individuals who are 5 years of age and older who are eligible can be vaccinated this Spring.

VFC eligibility screening and documentation of eligibility status must take place with each immunization visit to ensure the child's eligibility status has not changed.

Your child is eligible for the VFC program if he or she is younger than 19 years of age and is one of the following: Medicaid-eligible, Uninsured, Underinsured, American Indian or Alaska Native.

A child is eligible for the VFC Program if they are younger than 19 years of age and are one of the following: Uninsured. Medicaid-eligible or Medicaid-enrolled. American Indian or Alaska Native.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232