Provider Portal
Welcome to the VFC provider portal section of our website, where you'll find new provider information, enrollment and re-enrollment forms, information, frequently asked questions, and more.
TIP: Use the table of contents below to navigate down to the various groups of documents available on this page. Then, click a "return to top" link to jump back up to the table of contents at any time.
Table of Contents
Enrollment & Re-Enrollment
New Providers
- VFC Provider Benefits
- VFC Frequently Asked Questions
- VFC New Provider Information
- VFC New Provider Application
Current Providers
Annual re-enrollment is done online, directly through the NMSIIS web application. Please login to the Statewide Immunization Information System to get started with the process.
General Information
- VFC Program Staff Listing
- VFC Operations Manual
- VFC Educational Requirements for Providers
- Vaccine Storage & Handling Toolkit
Forms & Instructions
- VFC Provider NM Health Passport Order Form
- VFC Transport Instructions for Refrigerated Vaccines
- VFC Transport Temperature Log Form for Refrigerated Vaccines
- VFC Transport Instructions for Frozen Vaccines
- VFC Transport Temperature Log Form for Frozen Vaccines
- VFC Vaccine Administration Form (Part B) Instructions
- VFC Vaccine Administration Form (Part B)
- VFC Vacuna Forma Administración (Parte B)
- VFC Approved School Sites - Needle, Syringe, & e-kit Order Form
- VFC Adding Frozen Vaccine to Inventory on NMSIIS
- VFC Returning Expired, Spoiled/Non-Viable or Wasted Vaccines in NMSIIS
- VFC TSR Form
- VFC Provider Staff Change of Contact and uploading Training
- VFC Physician Signing Agreement Change of Contact
School Vaccine Administration Forms
- VFC Middle School Vaccination Letter/Permission Form
- VFC Middle School Vaccination Letter/Permission Form (Spanish)
- VFC School Immunization Consent Form
- VFC School Immunization Consent Form (Spanish)
Provider Temperature Log Forms
- Temp Log Example and Frequently Asked Questions
- VFC Metro Region Temperature Log Form
County: Bernalillo - VFC Northwest Region Temperature Log Form
Cibola, McKinley, San Juan, Sandoval, Torrance, and Valencia - VFC Northeast Region Temperature Log Form
Colfax, Guadalupe, Harding, Los Alamos, Mora, Rio Arriba, San Miguel, Santa Fe, Taos, and Union - VFC Southeast (A) Region Temperature Log Form
Chaves, Curry, DeBaca, Lincoln, and Quay - VFC Southeast (B) Region Temperature Log Form
Eddy, Lea, Lincoln, and Roosevelt - VFC Southwest Region Temperature Log Form
Catron, Dona Ana, Grant, Hidalgo, Luna, Otero, Sierra, and Socorro
Instructional Setup Guides
Digital Data Loggers
- VFC Data Logger Frequently Asked Questions
- VFC Program Data Logger Timeline and Checklist
- VFC 400 Data Download Instructions
- VFC 400 Freezer Settings
- VFC 400 Refrigerator Settings
Videos
- VFC Digital Data Logger Setup Video
- Recording Refrigerator Temperatures on the VFC Monthly Temp Log
- Recording Freezer Temperatures on the VFC Monthly Temp Log
- NMSIIS Inventory Training Part II- Reconciliations 2018
Vaccine Screening Forms
These screening forms from the Immunization Action Coalition (IAC) are useful in identifying patients who should not be vaccinated due to health or age concerns.