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Health and Human Services

Provider H1N1 Vaccine Registration

Friendly URL for this page: http://www.mass.gov/dph/h1n1registration

On-Line Registration with the MDPH H1N1 Vaccine Program

Register as an H1N1 Vaccine Provider

This fall, to protect the public from the 2009 H1N1 pandemic influenza virus, the federal government will provide states with H1N1 vaccine and supplies (needles, syringes, sharps containers, alcohol swabs, H1N1 immunization cards) at no cost. The Massachusetts Department of Public Health (MDPH) will be responsible for directing the shipment of all H1N1 vaccine in the Commonwealth.

In order to facilitate allocation of H1N1 vaccine to providers in Massachusetts, MDPH has developed an on-line system to register all public and private provider sites interested in receiving and administering novel H1N1 vaccine. Types of provider sites who should enroll include: private providers, hospitals, local health departments, regional public health coalitions, visiting nurses associations, clinics, pharmacists, occupational and employee health, and commercial community vaccinators.

Key Points On Vaccine Registration

  • Registration with the MDPH H1N1 Vaccine is necessary but, it does not guarantee that a site will receive vaccine. Vaccine shipments will be determined by the quantity that Massachusetts receives from the federal government and the federal guidance regarding prioritization of certain populations. However MDPH will do its best to work with all registrants.
  • Registration does constitute a willingness to accept and administer H1N1 vaccine following federal and state requirements.
  • Registration is for practices or facilities. Individual providers should register in association with or on behalf of their facility or practice site.
  • Providers already enrolled in the MDPH Immunization Program receiving state-supplied seasonal influenza and/or other vaccines, must also register through this system.
  • Sites that currently receive state-supplied vaccine for associated provider sites and clinics within their network or who intend to coordinate H1N1 vaccine allocation and distribution for associated sites should register as a single entity.
  • We encourage local municipalities or regions to identify a single entity to coordinate vaccine allocation and distribution responsibilities for public H1N1 vaccination clinics, including those sponsored by or located at local health departments, schools and Emergency Dispensing Sites (EDS) in their community.
  • We also ask those pharmacies and other retail establishments interested in providing H1N1 vaccine to please work through your corporate offices for registration as a single corporate entity.

A PDF or DOC version of the on-line registration is available to print out in order to collect all the necessary information needed to complete the registration process. Detailed instructions are also available on-line.

MDPH has established a dedicated helpdesk for the H1N1 Vaccine Registration process. Any questions related to accessing the website, the enrollment process, or general questions about the allocation and distribution process can be directed to this help desk either by phone (888) 578-5585, (617) 983-6898 or email (MDPHH1N1Registration@state.ma.us).

Register as an H1N1 Vaccine Provider

This information is provided by Communicable Disease Control within the Department of Public Health.