Vaccine Management Documents
- VFC Vaccine Transfer Form
- Vaccine Storage and Handling Guide (CDC) (PDF)
- Helpful Hints Around Vaccine Ordering
- Vaccine Order Form
- Vaccine Usage Aggregate Report
- Vaccine Usage - Worksheet
- Flu Vaccine Usage Form
- VFC Vaccine Borrowing Report
- Vaccine Return Request Form
- What NOT to Return to McKesson
file size 2MB
- Vaccine Refrigerator Temperature Log
- Vaccine Freezer Temperature Log
- Temperature Recording - Helpful Hints
- Temperature Scale Conversion Chart
- No Eligible Child May Be Denied State-Supplied Vaccine Poster
The following documents are also part of the provider enrollment packets and should be downloaded along with enrollment forms and instructions:
- Guidelines for Compliance with Federal Vaccine Administration Requirements
- New Vaccine Restitution Policy, Effective January 1, 2012
- Childhood Vaccine Availability Table
- Adult Vaccine Availability Table
- Patient Eligibility Screening Form
- Patient Eligibility Screening Form for Federally Qualified Health Centers
- Vaccine Management SOP
- Vaccine Management Checklist
- Flu Usage Reminder
- CDC Vaccine Information Statements
- National Vaccine Injury Table (HRSA)
- Standards for Child and Adolescent Immunization Practices (Pediatrics)
- General Protocols for Vaccine Storage, Administration, Standing Orders and Mass Immunization Clinics
- Recommendations for Drawing Up Vaccines
If you are not presently enrolled in the Massachusetts Immunization Program, please call the Vaccine Management Unit at 617-983-6828 before sending in the enrollment form.
Pediatric Provider Enrollment
- Pediatric Provider Enrollment Form
- Enrollment Checklist
- VFC Enrollment 2011 Cover Letter
- Instructions for Completing MDPH Immunization Programs Forms
Adult Provider Enrollment
- Adult Provider Enrollment Form
- Adult Provider Enrollment Cover Letter
- Instructions for Completing the Adult Enrollment Forms
This information is provided by within the Department of Public Health.