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This page, Vaccine Management, is offered by
Bureau of Infectious Disease and Laboratory Sciences
Department of Public Health

Resource Vaccine Management

Enrollment and compliance with state Vaccine Program, including policies and practices related to ordering, inventory maintenance, and storage and handling.

Organization:	Bureau of Infectious Disease and Laboratory Sciences Department of Public Health
Date published:	November 4, 2019

Table of Contents

Downloads

Agreement to Comply with Federal and State Requirements For Participation in the MDPH Immunization Division (English, DOCX 42.58 KB)

Agreement to Comply with Federal and State Requirements For Participation in the MDPH Immunization Division (English, PDF 230.61 KB)

Availability Table - Adult (English, DOCX 34.57 KB)

Availability Table - Adult (English, PDF 150.51 KB)

Availability Table - Childhood (English, DOCX 40.92 KB)

Availability Table - Childhood (English, PDF 162.49 KB)

Borrowing Form (English, DOCX 23.25 KB)

Enrollment Cover letter (English, DOCX 34.46 KB)

Enrollment Cover Letter (English, PDF 143.04 KB)

Fridge Tag 2L Data Logger Infographic (English, PDF 639.91 KB)

Fridge Tag 2 Data Logger - Quick Reference Guide (English, DOCX 335.36 KB)

Guidelines for Compliance with Federal Vaccine Administration Requirements (English, DOCX 98.95 KB)

Guidelines for Compliance with Federal Vaccine Administration Requirements (English, PDF 237.54 KB)

Patient Eligibility Screening Form (English, DOCX 62.74 KB)

Patient Eligibility Screening Form for Federally Qualified Health Centers (English, DOCX 63.91 KB)

Pharmaceutical Grade Refrigerator Requirements (English, DOCX 19.47 KB)

Replacement Worksheet (English, PDF 201.8 KB)

Replacement Worksheet (English, DOCX 119.08 KB)

Restitution Policy (English, DOCX 36.3 KB)

Restitution Policy (English, PDF 140.27 KB)

Sample Standard Operating Procedure (SOP) (English, DOCX 88.96 KB)

Sample Standard Operating Procedure (SOP) (English, PDF 349.74 KB)

Temperature Troubleshooting Record (English, DOCX 20.52 KB)

Vaccine Freezer Temperature Log (English, RTF 60 KB)

Vaccine Refrigerator Temperature Log (English, DOCX 18.71 KB)

Vaccine Transport Guide (English, PDF 842.94 KB)

Vaccine Transport Guide (English, DOC 1.28 MB)

Contact

Phone

Online

dph-vaccine-management@massmail.state.ma.us

Fax

(857) 323-8320

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