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Forms

Photo of the publication cover. VFC Troubleshooting Record Form Immunization - Form January 27, 2015

This form should be used to report out of range temperature incidents and submit a troubleshooting record to the vaccines for children program.



Photo of the publication cover. VFC Routine Vaccine Management Plan Immunization - Form January 23, 2015

The New Mexico VFC Program requires each practice to develop and maintain a Routine Vaccine Management Plan. Properly completing this template will meet the VFC Program requirement for VFC Program participants to have written vaccine storage and handling plans.



Photo of the publication cover. VFC Emergency Vaccine Management Plan Immunization - Form January 23, 2015

The New Mexico VFC Program requires each practice to develop and maintain an Emergency Vaccine Management Plan. Properly completing this template will meet the VFC Program requirement to have a written plan for storage and handling procedures in an emergency.

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