Forms
VFC Program Data Logger Timeline and Checklist
Immunization - Form
January 26, 2018
This document is for providers: guidelines and important dates for the transition to digital data loggers.
Adult Vaccine Order Form
Immunization - Form
October 10, 2017
Healthcare providers may use this form to order adult vaccines.
Adult Vaccine Return Form
Immunization - Form
October 10, 2017
This form is used by Healthcare providers to return Adult Vaccines.
Immunization Assessment Worksheet for 7th Grade
Immunization - Form
September 8, 2017
Immunization Assessment Worksheet for 7th Grade
Immunization Assessment Worksheet for Kindergarten
Immunization - Form
September 8, 2017
Immunization Assessment Worksheet for Kindergarten
VFC Vaccine Return Form
Immunization - Form
April 21, 2017
This form is used to return vaccines and to track your inventory. Vaccines that are returned are then cleared from your inventory. Complete and fax this form to the NM VFC Program before you return any vaccines.
VFC Transport Temperature Log Form for Frozen Vaccines
Immunization - Form
June 27, 2014
Complete this log when transporting vaccines to an alternate or back-up freezer.