Florida VFC Program Provider Application

Thank you for your VFC Program application!

A copy of this application has been sent to the email address you listed in the form. Please print and sign a copy of that email and maintain in your records.

Note: Under Florida law, email addresses are public records. If you do not want your email address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.

Please Note: If you did not receive a follow-up email, some email providers filter messages based on content, subject line, or the sender's address and may put your email into the a spam or junk mail folder. Please make sure FloridaVFC@FLHealth.gov is on your "approved sender" list or "white list" and/or in your "address book."

After we verify your provider enrollment and profile, a VFC Program representative will issue you a Personal Identification Number (PIN), which the provider will refer to for all contacts and transactions. Within two weeks, a VFC Program representative will contact the provider to verbally outline and review the state and federal VFC Program guidelines. An Immunization Section field operations representative will arrange a new provider site visit and approve your facility for enrollment in the VFC Program.

The orientation site visit will include:

• A review of VFC Program requirement
• A review of vaccine storage and handling procedures
• A verification that the provider's clinic has a proper refrigerator/freezer unit to store VFC vaccines
• An opportunity to answer provider or staff questions