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Forms

Photo of the publication cover. VFC New Provider Enrollment Form Immunization - Form February 26, 2015

All VFC providers are required to submit this annual VFC certification form in order to continue receiving VFC vaccines.



Photo of the publication cover. VFC Southeast (A) Region Temperature Log Form Immunization - Form February 26, 2015

Counties: Chaves, Curry, DeBaca, Lincoln, and Quay



Photo of the publication cover. Adult Vaccine Return Form Immunization - Form January 29, 2015

This form is used by Healthcare providers to return Adult Vaccines.

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