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Forms


Photo of the publication cover. Adult Vaccine Order Form Immunization - Form October 10, 2017

Healthcare providers may use this form to order adult vaccines.



Photo of the publication cover. Adult Vaccine Return Form Immunization - Form October 10, 2017

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



Photo of the publication cover. Immunization Assessment Worksheet for 7th Grade Immunization - Form September 8, 2017

Immunization Assessment Worksheet for 7th Grade



Photo of the publication cover. Immunization Assessment Worksheet for Kindergarten Immunization - Form September 8, 2017

Immunization Assessment Worksheet for Kindergarten



Photo of the publication cover. VFC Vaccine Return Form Immunization - Form April 21, 2017

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.