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Florida VFC Program Provider Handbook

Contact the Immunization Section

Links below are Adobe Acrobat PDF files of 1.8 MB or less and open in new window.

Please Note: The VFC Program is currently updating the Florida VFC Program Provider Handbook in accordance with Centers for Disease Control and Prevention (CDC) requirements. Updated sections will be posted as they are approved for release.

1. Cover

  • Front Cover (slip pocket)
  • Front Cover (three-hole punch)
  • Spine Cover (1.5 inches)

2. Executive Summary

Cover Letter and Table of Contents

3. Modules

M-1—Overview

M-2—Eligibility

M-3—Provider Enrollment

M-4—ACIP and Vaccine Reporting

M-5—Vaccine Storage and Handling

  • A—Vaccine Management Requirements
  • B—Vaccine Storage Equipment
  • C—Thermometers
  • D—Vaccine Transfers
  • E—Packing Vaccine for Transport to Off-site Activities

M-6—Vaccine Information Statements

M-7—Provider Compliance and Monitoring

M-8—Fraud and Abuse

4. Appendices

A-1—Federally Qualified Health Centers and Florida Rural Health Centers

A-2—Eligibility Forms

  • Patient Eligibility Screening Record Florida Vaccine for Children Program
  • Comprehensive Certification Form for American Indians and Alaskan Natives
  • Comprehensive Certification Form for Children Who Are Enrolled in Medicaid
  • Patient Eligibility Screening Record, Vaccines for Children Program in Family Planning Clinics
  • Family Planning Clinic, Unaccompanied Minor without Insurance Information VFC Vaccine Log
  • Maximum Regional Charges for Vaccine Administration By State

A-3—Provider Enrollment Forms

  • Provider Initial Enrollment Form Provider Recertification Form Disenrollment Form
A-4—VFC Reporting Forms
  • Vaccine Report Form Additional Information Form
  • Varicella-containing Vaccine Order Form
  • Vaccine Usage Worksheet Vaccine
  • Inventory Balance Sheet Vaccine
  • Return and Waste Form Vaccine Transfer Form
  • Request to Transport and Administer Vaccines to Off-site Immunization Activities Form
  • Vaccine Request Form for Off-site Immunization Activities
  • Transporting and Administering Vaccines to Off-site Immunization Activities (Cooler Temperature Log [Sample])

A-5—Vaccine Management

  • Storage Resources Checklist for Safe Vaccine Handling and Storage
  • Temperature Log for Vaccines (Fahrenheit/Celsius)
  • Thermometer Product Resources Display Materials
  • Don't Be Guilty of These Errors in Vaccine Storage and Handling Flyer
  • Handle Vaccines with Care Refrigerator Magnet
  • Do Not Unplug Sticker
  • Emergency Storage and Handling
  • Emergency Response Plan (Sample)
  • Emergency Response Worksheet
  • Emergency Vaccine Storage and Handling Advisory
  • Recommendations for Storage and Handling of Selected Biologicals

A-6—Vaccine Administration

  • Vaccine Administration Record for Children and Teens
  • Uniform Vaccine Administration Record
  • Instructions for the Use of Vaccine Information Statements

A-7—Provider Compliance and Monitoring

  • Vaccine Adverse Event Reporting System (VAERS)
  • List of Revised Standards for Child and Adolescent Immunization Practices
  • Standards for Pediatric Immunization Practices
  • Questionnaire VFC Provider Site Visit Questionnaire

A-8—Miscellaneous Information

  • VFC Program Contact Information
  • Immunization Resources on the Web
  • Website Links to Access VFC Forms
  • Suspected Fraud and Abuse Report Form

*Note: This page contains materials in the Portable Document Format (PDF). The free Adobe Reader may be required to view these files.