New Mexico Department of Health
Our mission is to promote health and wellness, improve health outcomes, and assure safety net services for all people in New Mexico.
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Forms

Photo of the publication cover. VFC Vaccine Return Form Immunization - Form July 20, 2015

This form is used to return vaccines and to track your inventory. Vaccines that are returned are then cleared from your inventory. Complete and fax this form to the NM VFC Program before you return any vaccines.



Photo of the publication cover. VFC Vaccine Transfer Form Immunization - Form July 20, 2015

This form applies only to vaccines provided by the NM Vaccines for Children Program. Use only for transferring vaccine to another NM VFC Provider. Transfer vaccines three months before expiration date.



Photo of the publication cover. NMHSC Stipend Application 2016 Primary Care & Rural Health - Form July 20, 2015

The New Mexico Health Service Corps provides stipends to eligible health professionals during their last two years of training or residency who, in turn, enter into contract with the Department of Health to provide (when licensed) health service for a minimum of two years (1600 hours per year) in an underserved area of New Mexico. This document is the application for this program.

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