Vaccine Management

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.

• Agreement to Comply with Federal and State Requirements For Participation in the MDPH Immunization Program 

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.