VFC Providers

Indiana Policies and Procedures

VFC Forms

Patient Eligibility Screening Forms

Forms to support VFC-enrolled providers in ensuring VFC elibility screening takes place with each immunization visit for all patients.

Vaccine Inventory & Wastage Forms

Forms to support VFC-enrolled providers in managing and maintaining adequate inventory of vaccine for both VFC eligible and non-VFC eligible patients.

Enrollment & Disenrollment

Off-Site Clinic Forms

Storage and Handling

2018 CDC Storage and Handling Toolkit

Data Loggers

Storage Units and Equipment

Temperature Logs

Vaccine Order Management System (VOMS)

Please visit the CHIRP VOMS page for VOMS paperwork and information.

 

Contact your field representative, educator, or the Immunization Division for more information. You can send an email to immunize@isdh.in.gov or call the toll free number at (800) 701-0704.