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Yellow Fever Vaccine Provider

Contact the Immunization Section

How to become a yellow fever vaccine provider 

Many countries require specific travel immunizations for visitors such as yellow fever vaccine. Providers interested in giving yellow fever vaccine need to apply for a uniform stamp and yellow fever vaccination certification. The uniform stamp allows the authorized provider to officially sign the traveler's International Certificate of Vaccination (ICV). The ICV records the vaccinations received and the signature validates this record. Yellow fever vaccination certification allows the authorized provider to actually purchase and administer the yellow fever vaccine.

Who can Apply:

  • Licensed Physicians
  • Pharmacists with a Valid Immunization Administration Certification

Note: Nurses are NOT eligible.

How to apply:

  1. Download, Complete and Submit the Yellow Fever Provider Application/Uniform Stamp Agreement
  2. Download, Complete and Submit a Yellow Fever Vaccination Center Agreement
  3. Submit proof of completion of Centers for Disease Control and Prevention (CDC) Online Yellow Fever Course (Physician of Record as well as all designated medical staff) www.cdc.gov/travel-training/about-yellow-fever-vaccine.html
  4. Submit ALL forms and proof of CDC training via email, fax, or US mail

Contact Information:
Phone: 1-877-888-7468
Email: ImmunizationsYellowfever@FLHealth.gov
Fax: 850-922-4195

Mailing Address:
Florida Department of Health
Immunization Section
4052 Bald Cypress Way, Bin A11
Tallahassee, FL 32399-1719

  • Certification Process (may take up to 8 weeks)
  1. After your application is complete the Yellow Fever Coordinator will verify that your professional license is up-to-date. After your request is approved, a yellow fever vaccination certification package will be sent to you.
  2. If you are a licensed pharmacist, the Yellow Fever Coordinator will also need to verify that you have a valid immunization Administration Certificate. Once you are determined to have a valid immunization Certificate, your application will be processed. After your request is approved, a yellow fever vaccination certification package will be sent to you.
  3. The Coordinator will contact the vaccine manufacturer to let them know you are approved and certified to order and administer the Yellow Fever vaccine.
  4. The Coordinator will update the Centers for Disease Control and Prevention (CDC) Yellow Fever National Registry. You can access the registry at this link: wwwnc.cdc.gov/travel/yellow-fever-vaccination-clinics/search.
  5. Once you receive the yellow fever vaccination certification package, you will be responsible for purchasing your own stamp, Yellow Fever vaccine and International Certificate of Vaccination or Prophylaxis (ICV) cards.
    1. Information regarding the ordering of a Uniform Stamp will be included in your certification package.
    2. Yellow Fever Vaccine is available to purchase from Sanofi Pasteur at 1-800-VACCINE (1-800-822-8463).
    3. The ICV card is available for purchase from the Government Printing Office bookstore.  To order, visit: bookstore.gpo.gov/products/sku/017-001-00567-3.
  • Forms (Fillable PDF's)

Yellow Fever Provider Application/Uniform Stamp Agreement
The Provider Application/Uniform Stamp Agreement must be completed to apply to receive a Yellow Fever Uniform Stamp. The Uniform Stamp is to officially document on a patient's International Certificate of Vaccination (ICV) that the travel vaccinations were given. The stamp can only be used by the provider it is assigned to and cannot be loaned to another person.

Download Yellow Fever Provider Application/Uniform Stamp Agreement Form

Yellow Fever Vaccination Center Agreement
Before becoming a Yellow Fever Vaccine Provider you must submit a Yellow Fever Vaccination Center Agreement agreeing to the terms of stamp use and vaccine storage and handling. The agreement also names your chosen facility as designated yellow fever vaccine center. This is the place where your yellow fever vaccine will be shipped and administered. A yellow fever vaccine center must be under the jurisdiction of a stamp holder.

Download Yellow Fever Vaccine Center Agreement Form

Address Changes
Please submit the Change of Address Form after an address change has occurred. Failure to submit this documentation will inhibit your ability to order vaccine. This form must be signed by the uniform stamp holder in order to be processed. The information will be updated accordingly on the Centers for Disease Control and Prevention's (CDC) website, and with Sanofi Pasteur.

Download Yellow Fever Vaccine Provider Address Change Form

Yellow Fever Vaccine Provider Clinic Addition or Removal

If you need to add or remove a clinic to and/or from your stamp you must submit a separate form for each. This form must be signed by the uniform stamp holder in order to be processed. The information will be updated accordingly on the Centers for Disease Control and Prevention's (CDC) website, and with Sanofi Pasteur.

Download Yellow Fever Vaccine Provider Add/Remove Clinic Form

Questions?
Contact the Florida Department of Health–Immunization Section at 1-877-888-7468

  • Additional Resources

Florida Board of Pharmacy

Under a law passed during the regular Legislative session this year, pharmacists who have a valid Immunization Administration Certification, have been given expanded authority to give additional vaccines. Also, Florida registered pharmacy interns who complete 20 hours of approved Board coursework can apply for the same certification. floridaspharmacy.gov/latest-news/immunization-authority-expanded/


Adverse Event Reporting
Adverse events reported to public providers after vaccination should be submitted to the Immunization Program, Public Health Division, using a Vaccine Adverse Events Reporting System form (VAERS) according to state guidelines. Private providers should report all adverse events directly to VAERS.

For more information and reporting forms, please contact VAERS at: 1-800-822-7967 or visit the VAERS website at: vaers.hhs.gov/index.

Relevant MMWR Publications
(Includes current Yellow fever vaccination recommendations)
www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/yf.html

Yellow Fever Vaccine Information Statement
www.immunize.org/vis/vis_yellow_fever.asp

CDC's Travelers' Health
wwwnc.cdc.gov/Travel

U.S. Government Online Bookstore
Health Information for International Travel and the International Certificate of Vaccination can both be ordered here:
bookstore.gpo.gov/products/sku/017-001-00566-5

Quarantine
The Division of Global Migration and Quarantine (DGMQ) site
www.cdc.gov/ncezid/dgmq/index.html


American Society for Tropical Medicine and Hygiene
www.astmh.org/Home1.htm