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This page, Vaccine Management, is part of
This page, Vaccine Management, is offered by

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

Downloads

Agreement to Comply with Federal and State Requirements For Participation in the MDPH Immunization Division (DOCX 36.7 KB)
Agreement to Comply with Federal and State Requirements For Participation in the MDPH Immunization Division (PDF 385.03 KB)
Availability Table - Adult (DOCX 33.46 KB)
Availability Table - Adult (PDF 400.7 KB)
Availability Table - Childhood (DOCX 36.03 KB)
Availability Table - Childhood (PDF 380.74 KB)
Borrowing Form (DOCX 23.25 KB)
Enrollment Cover letter (DOCX 39.3 KB)
Enrollment Cover Letter (PDF 238.74 KB)
Freezer Transport Guideline (DOCX 136.84 KB)
Fridge Transport Guideline (DOCX 174.74 KB)
Fridge Tag 2L Data Logger Infographic (PDF 639.91 KB)
Fridge Tag 2 Data Logger - Quick Reference Guide (DOCX 335.36 KB)
Guidelines for Compliance with Federal Vaccine Administration Requirements (DOCX 96.87 KB)
Guidelines for Compliance with Federal Vaccine Administration Requirements (PDF 498.22 KB)
Patient Eligibility Screening Form (DOCX 62.74 KB)
Patient Eligibility Screening Form for Federally Qualified Health Centers (DOCX 63.91 KB)
Pharmaceutical Grade Refrigerator Requirements (DOCX 19.47 KB)
Restitution Policy (DOCX 39.73 KB)
Restitution Policy (PDF 425.08 KB)
Sample Standard Operating Procedure (SOP) (DOCX 166.29 KB)
Sample Standard Operating Procedure (SOP) (PDF 589.14 KB)
Temperature Troubleshooting Record (DOCX 20.52 KB)
Vaccine Freezer Temperature Log (RTF 60 KB)
Vaccine Refrigerator Temperature Log (DOCX 18.71 KB)

Contact

Phone

(617) 983-6828

Online

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

Fax

(617) 983-6924
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