Get Vaccine Borrowing Report - Minnesota Dept. Of Health. Report For Borrowing Mnvfc, Uuav And Private

The Vaccine Borrowing Report is a crucial document for Minnesota Vaccines for Children (MnVFC)-enrolled providers. It ensures that providers keep an accurate record of vaccine borrowing when administering vaccines to eligible and non-eligible patients. This guide offers step-by-step instructions on how to complete the report accurately and efficiently.

Follow the steps to effectively complete the Vaccine Borrowing Report.

1. Click ‘Get Form’ button to obtain the Vaccine Borrowing Report and open it in your preferred form editor.
2. Enter the site name and MnVFC PIN in the designated spaces at the top of the form.
3. In the Vaccine Borrowing Report Table, enter each dose of vaccine borrowed in a separate row. Ensure all columns (A-G) are filled out for each dose.
4. Complete column A by specifying the type of vaccine borrowed. In column B, note the stock used (MnVFC, UUAV, or Private).
5. Enter the patient’s name in column C, and their date of birth in column D formatted as xx/xx/xxxx.
6. Record the date the dose was administered in column E using the same date format.
7. In column F, enter the reason for borrowing by selecting the appropriate code from the coding legend provided on page 1.
8. Document the date when the dose was returned to the appropriate stock in column G, if applicable.
9. At the bottom of the report, the provider must sign and date the form to certify accuracy.
10. Once you have completed the form, you can save changes, download, print, or share the Vaccine Borrowing Report as needed.

Complete your documentation for vaccine borrowing online today.