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
imMTrax Roll Out
- imMTrax Training Opportunities (02/02/12)
- imMTrax December End of Month Process (12/23/11)
- imMTrax Training Memo (12/12/11)
VFC/Flu Updates
- VFC Update Memo (01/27/12)
- 2012 Regional Workshop Memo (01/25/12)
- Influenza Update, Holiday Shipping, imMTrax Transition (12/19/11)
- WIC/IZ Program MOU (07/08/08)
General VFC Information
- VFC Provider Handbook/Vaccine Management Plan
- VFC Vaccines Available Chart (08/05/11)
- VISs Up-to-date (01/24/12)
- Get Current VISs from the CDC
Eligibility Screening Documents
- Family Planning Clinic Log (01/11)
- FQHC Vaccine Eligibility Form (01/11)
- Health Department Vaccine Eligibility Form (01/11)
- IHS-Tribal Clinics Comprehensive Screening Form (01/11)
- Private Provider Clinic Vaccine Eligibility Form (01/11)
- RHC Vaccine Eligibility Form (01/11)
- Request Form To Use Clinic Computer Report (02/13/12)
- Instructions For Vaccine Eligibility Form (01/11)
- Sample Vaccine Eligibility Form (01/11)
- VFC Eligibility Screening Requirements (04/11) (VFC Handbook, Section 4, Page 20)
Vaccine Management
- VFC Provider Handbook/Vaccine Management Plan
- Vaccine Order Form (06/07/11)
- Vaccine Borrowing Report (04/08/11)
- Wasted and Expired Vaccine Form (03/30/11)
Vaccine Storage
- Vaccine Incident Report (for use with Data Loggers) (06/01/11)
- Vaccine Incident Report (for use with single-read thermometers) (06/01/11)
- Temperature Log (Celsius w/Fahrenheit scale) (11/07/11)
- Temperature Log (Fahrenheit) (03/29/11)
- Refrigerator/Freezer Guide to Vaccine Storage (02/01/11)
- Refrigerator/Freezer Recommendations (05/27/11)
Data Loggers:
- Montana Data Logger Instruction Manual (04/19/11)
- 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 0-6 years
- Immunization Schedule for persons 7-18 years
- Immunization Catch-Up Schedules
Birthing Hospital Enrollment
- Request for Approval of Computer-Generated VFC Screening Report (08/03/11)
- Eligibility Tracking Form for Birthing Hospitals
