VFC Enrollment & Recertification
- Enrollment instructions and online forms
- Enrolling Birthing Hospitals
- Key Practice Staff Change Request form
- Participation Withdrawal Request Form
- Enrollment & Recertification FAQs
- Recertification Worksheet
Patient Eligibility
- Patient Eligibility Screening Record for VFC
- Patient Eligibility Screening Record (Spanish)
Use this form to document the eligibility status of the patient. - VFC Eligibility Screening and Documentation Requirements
Vaccine Management
See Storage & Handling Job Aids for temperature logs, data logger guides, and vaccine transport guidance available for all vaccination programs!
Disease Reporting
- Legal Requirements for Reporting Diseases
Reportable diseases and conditions, Title 17, California Code of Regulations. - Communicable Disease Control Forms
A collection of forms to be used to report diseases to the State of California. - Guidance for Local Health Jurisdictions on reporting vaccine-preventable diseases to CDPH
Patient Care
- Immunization Record & History form
- VAERS, VERP & MedWatch
- Vaccine Adverse Event Reporting System (VAERS)
To report adverse events after administration of US licensed vaccines. - Vaccine Error Reporting Program (VERP)
To report preventable vaccine administration errors.