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Get Wv Vvbr-112
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How to fill out the WV VVBR-112 online
This guide provides clear instructions on how to fill out the WV VVBR-112, the VFC Vaccine Borrowing Report, online. By following these steps, you can ensure accurate reporting for vaccine borrowing and replacement.
Follow the steps to complete the WV VVBR-112 online.
- Click the ‘Get Form’ button to obtain the form and open it in your preferred editor.
- In the first section, enter the VFC PIN provided to you. This is essential for identification purposes.
- In the 'Vaccine Borrowed' section, list the specific vaccine that has been borrowed.
- For each patient, fill out their name, identifier, and insurance status. Specify whether they are VFC-eligible or private.
- Enter the date of birth (DOB) for each patient to verify their identity.
- Record the date when the vaccine was borrowed in the designated field.
- In the 'Reason no appropriate stock vaccine was available' section, circle the applicable reason from the provided options.
- If there are multiple borrowed doses, repeat Steps 3 to 7 for each additional patient.
- Once the borrowed doses have been replaced, record the date vaccine was returned to the appropriate stock.
- Finally, ensure to certify the information by entering your provider name, providing your signature, and recording the date of submission.
Complete your WV VVBR-112 online today to ensure compliance with vaccine borrowing regulations.
To report changes to the Department of Health and Human Resources (DHHR) in West Virginia, you should inform them directly through their designated channels. This can usually be done via mail, phone, or in-person visits, depending on the nature of the change. Keeping your information up-to-date is essential, and resources like WV VVBR-112 can help streamline this process.
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