Below are the links to the current VFC forms and publications. Publication and/or revision dates are on the footer of each document and are in parentheses next to links
VFC Updates/Memos
- Pediarix® and Pentacel® Update (04/24/13)
- Memo-New VFC Requirements (03/15/13)
- VFC Update Memo (02/27/13)
- 2013 Regional Workshop Memo
- 2013 Regional Agenda
- VFC Policy Prohibiting Dormitory-Style Storage Units (12/27/2012)
- Dormitory Certificate
- WIC/IZ Program MOU (11/23/10)
General VFC Information
- VFC Provider Handbook/Vaccine Management Plan
- VFC Vaccines Available Chart (03/15/13)
- VISs Up-to-date (03/15/13)
- Get Current VISs from the CDC
Eligibility Screening Documents
- Health Department Vaccine Eligibility Form (03/13)
- Private Provider Clinic Vaccine Eligibility Form (03/13)
- FQHC Vaccine Eligibility Form (03/13)
- Family Planning Vaccine Eligibility Form (03/13)
- Family Planning Clinic Log (03/13)
- IHS-Tribal Clinics Comprehensive Screening Form (01/11)
- Request Form To Use Clinic Computer Report (02/13/12)
Vaccine Management
- VFC Provider Handbook/Vaccine Management Plan
- Vaccine Order Form (11/26/12)
- Vaccine Borrowing Report (12/21/12)
- Sample Borrowing Diagram for integrated providers
- Sample Borrowing Diagram for aggregate providers
- Wasted and Expired Vaccine Form (07/24/12)
Vaccine Storage
- Vaccine Incident Report (for use with Data Loggers) (03/28/12)
- Temperature Log Refrigerator (03/15/2013)
- Temperature Log Freezer (03/15/2013)
- Refrigerator/Freezer Recommendations (11/30/12)
Data Loggers:
- EasyLog Version 6.3 Download
- Montana Data Logger Instruction Manual VFC5000 TC (03/15/13)
- Other Data Logger Resources: Manufactures Product Guide, Help Document, Software Driver Installation Help: Control Solutions
Schedules:
- Hib Vaccination Schedule - March 2010
- Immunization Schedule for persons 0-18 years
- Immunization Catch-Up Schedules
Pharmacies
Birthing Hospital Enrollment
- Request for Approval of Computer-Generated VFC Screening Report (08/03/11)
- Eligibility Tracking Form for Birthing Hospitals
