VFC Enrollment & Recertification

• Enrollment instructions and online forms
• 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!

• VFC Vaccine Orders
• VFC Vaccine Ordering Worksheet
• Vaccine Brand Change Request Forms

Documentation of Tdap Administration

• Tdap Screening Form
• Is it Tdap or DTap? job aid

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.